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Individual
DR. CHARLES ANDREW PICKENS
Active
Individual
DR. CHARLES ANDREW PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9187
SC
207RG0100X
Gastroenterology Physician
9187
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091876
—
SC
01
—
29311
MEDCOST
SC
01
—
4275342
AETNA
SC
05
—
890615B
—
NC
Enumeration date
01/27/2006
Last updated
03/03/2016
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