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Organization
CHARLESTON NEPHROLOGY ASSOCIATES, LLC
Active
Organization
CHARLESTON NEPHROLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LANE M FLOYD (PRACTICE ADMINISTRATOR)
(843) 767-9312
Entity
Organization
Contact information
Practice address
3815 FABER PLACE DR, NORTH CHARLESTON, SC 29405-8533
(843) 767-9312
(843) 767-9313
Mailing address
3815 FABER PLACE DR, NORTH CHARLESTON, SC 29405-8533
(843) 767-9312
(843) 767-9313
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2517
—
SC
05
—
GP2517
—
SC
Enumeration date
12/19/2005
Last updated
10/18/2007
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