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Organization
CAROLINA CTR FOR OCCUP HEALTH
Active
Organization
CAROLINA CTR FOR OCCUP HEALTH
Active
Other names
Charleston Medical Arts Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERBERT DRAYTON III (ADMINISTRATOR)
(843) 554-1029
Entity
Organization
Contact information
Practice address
4600 GOER DR, STE. 205, NORTH CHARLESTON, SC 29406-6500
(843) 554-1029
(843) 554-1103
Mailing address
4600 GOER DR, STE. 205, NORTH CHARLESTON, SC 29406-6500
(843) 554-1029
(843) 554-1103
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
67825
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0280
—
SC
Enumeration date
02/28/2007
Last updated
07/10/2007
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