# CHARLESTON BIRTH PLACE, INC

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

## Provider details

- **NPI number:** 1619162500
- **Authorized official:** LESLEY RATHBUN CNM (OWNER/DIRECTOR)
- **Authorized official phone:** (843) 818-1123

## Contact information

- **Practice address:** 9133 TIMBER ST, SUITE 101, NORTH CHARLESTON, SC 29406
- **Practice address phone:** (843) 818-1123
- **Practice address fax:** (843) 818-1126
- **Mailing address:** 1300 HOSPITAL DR STE 270, MOUNT PLEASANT, SC 29464-3244
- **Mailing address phone:** (843) 818-1123
- **Mailing address fax:** (843) 818-1126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QB0400X | Birthing Clinic/Center | BC-007 | SC | Yes |

## Other

- **Enumeration date:** 09/13/2007
- **Last updated:** 03/24/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP4823 | — | SC |