Organization
DIAGNOSTIC RADIOLOGY OF CHARLESTON LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY K SHORT MD (MANAGER)
(843) 402-1783
Entity
Organization
Contact information
Practice address
2095 HENRY TECKLENBURG DRIVE, ROGER SAUNT FRANCIS MEDICAL CENTER BON SECOUR, CHARLESTON, SC 29414
(843) 402-1783
(843) 402-1527
Mailing address
2095 HENRY TECKLENBURG DRIVE, ROGER SAUNT FRANCIS MEDICAL CENTER BON SECOUR, CHARLESTON, SC 29414
(843) 402-1783
(843) 402-1527
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA151A
—
SC
Enumeration date
05/31/2006
Last updated
08/22/2020
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