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Organization

MEDICAL UNIVERSITY HOSPITAL AUTHORITY

Active
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Organization

MEDICAL UNIVERSITY HOSPITAL AUTHORITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KARYN RAE (DIRECTOR)
(843) 876-1344
Entity
Organization

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751514, CHARLOTTE, NC 28275-1514
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NULL
208000000X
Pediatrics Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DEC200
—
SC
05
—
DRC002
—
SC
Enumeration date
01/16/2007
Last updated
11/30/2011
About Stedi
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