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Organization
GOMED CHARLESTON LLC
Active
Organization
GOMED CHARLESTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ALLAN MESTER MD (MEDICAL DIRECTOR)
(813) 360-3957
Entity
Organization
Contact information
Practice address
1671 BELLE ISLE AVE STE 110J, MOUNT PLEASANT, SC 29464-8336
(844) 994-6633
(470) 235-1861
Mailing address
2011 COMMERCE DR N, PEACHTREE CITY, GA 30269-3538
(844) 994-6633
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42D2160532
CLIA WAIVER CERTIFICATION
SC
Enumeration date
11/13/2018
Last updated
01/06/2025
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