Organization
CHARLESTON PULMONARY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM T. DAWSON JR. M.D. (PRESIDENT)
(843) 577-6791
Entity
Organization
Contact information
Practice address
125 DOUGHTY ST, SUITE 200, CHARLESTON, SC 29403-5736
(843) 577-6791
(843) 577-0553
Mailing address
125 DOUGHTY ST, SUITE 200, CHARLESTON, SC 29403-5736
(843) 577-6791
(843) 577-0553
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155131300
OWCP-WC PROVIDER #
SC
01
—
CL4954
RAILROAD MEDICARE
SC
05
—
PA5351
—
SC
Enumeration date
05/08/2006
Last updated
08/14/2017
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