Individual
DR. DOUGLAS HAROLD GLEATON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 ASHLEY RIVER RD, CHARLESTON, SC 29407-5315
(854) 429-1175
(843) 695-9467
Mailing address
PO BOX 13955, CHARLESTON, SC 29422-3955
(843) 225-8320
(843) 225-3549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30062
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300622
—
SC
01
—
AA7626A634
MEDICARE PTAN
SC
01
—
P00982686
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
07/03/2007
Last updated
07/17/2025
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