# CHARLESTON ENT ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1811383094
- **Authorized official:** CASEY WILSON (HR ADMINISTRATOR)
- **Authorized official phone:** (843) 766-7103

## Contact information

- **Practice address:** 9185 UNIVERSITY BLVD, NORTH CHARLESTON, SC 29406-9120
- **Practice address phone:** (843) 766-7103
- **Practice address fax:** (843) 402-6840
- **Mailing address:** 2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
- **Mailing address phone:** (843) 766-7103
- **Mailing address fax:** (843) 402-6840

## Taxonomy

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

## Other

- **Enumeration date:** 04/14/2015
- **Last updated:** 04/14/2015