Organization
MEDICALLY FRAGILE CHILDRENS PROGRAM
Active
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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