Individual
CHARLES JAMES WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1090 BERKELEY ST APT 44, HANAHAN, SC 29410-2935
(888) 910-0573
Mailing address
1090 BERKELEY ST APT 44, HANAHAN, SC 29410-2935
(888) 910-0573
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
172A00000X
Driver
090476641
SC
2472E0500X
EEG Technician
—
—
374700000X
Technician
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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