Organization
MEDICALLY FRAGILE CHILDRENS PROGRAM
Active
Other names
Medical University Hospital Authority
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM STUART SMITH (EXECUTIVE DIRECTOR)
(843) 792-4000
Entity
Organization
Contact information
Practice address
2750 SPEISSEGGER DRIVE, SUITE 108, N CHARLESTON, SC 29405-8701
(843) 876-7007
(843) 554-9230
Mailing address
2750 SPEISSEGGER DRIVE, SUITE 108, N CHARLESTON, SC 29405-8701
(843) 876-7007
(843) 554-9230
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DRC009
—
SC
Enumeration date
02/20/2007
Last updated
08/22/2020
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