# MEDICAL UNIVERSITY HOSPITAL AUTHORITY

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

## Provider details

- **NPI number:** 1871657734
- **Authorized official:** KARYN RAE (DIRECTOR)
- **Authorized official phone:** (843) 876-1344

## Contact information

- **Practice address:** 169 ASHLEY AVE, CHARLESTON, SC 29425-5836
- **Practice address phone:** (843) 792-1414
- **Mailing address:** PO BOX 250819, CHARLESTON, SC 29425-0819
- **Mailing address phone:** (843) 792-3211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | Yes |
| 133NN1002X | Nutrition Education Nutritionist | — | — | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 12/02/2011
