# CHARLESTON ENT ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487051439
- **Authorized official:** JUNE PATENAUDE (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (843) 576-2600

## Contact information

- **Practice address:** 298 MIDLAND PKWY, SUMMERVILLE, SC 29485-8101
- **Practice address phone:** (843) 766-7103
- **Practice address fax:** (843) 302-0260
- **Mailing address:** 1849 SAVAGE RD, CHARLESTON, SC 29407-4726
- **Mailing address phone:** (843) 766-7103
- **Mailing address fax:** (843) 302-0260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 11/19/2014
- **Last updated:** 11/19/2014