Organization
CHARLESTON ENT ASSOCIATES, LLC
Active
Parent organization
CHARLESTON ENT ASSOCIATES, LLC
Other names
Surgery Center of Charleston
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLESTON ENT ASSOCIATES, LLC
Authorized official
MS. CHARLENE THOMPSON (BILLING MANAGER)
(843) 763-5342
Entity
Organization
Contact information
Practice address
1849 SAVAGE RD, CHARLESTON, SC 29407-4726
(803) 766-7103
Mailing address
2295 HENRY TECKLENBURG DR., CHARLESTON, SC 29414-7801
(803) 766-7103
(843) 576-2592
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF072
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ASC044
—
SC
01
—
P01419594
RAILROAD MEDICARE
SC
Enumeration date
07/11/2005
Last updated
03/10/2016
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