# DR. CHARLES ANDREW PICKENS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407827587
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 9187 | SC | Yes |
| 207RG0100X | Gastroenterology Physician | 9187 | SC | — |

## Other

- **Enumeration date:** 01/27/2006
- **Last updated:** 03/03/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 091876 | — | SC |
| 01 | — | 29311 | MEDCOST | SC |
| 01 | — | 4275342 | AETNA | SC |
| 05 | — | 890615B | — | NC |