Organization
ST ANDREWS MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUTH DEHAVEN MD (OWNER)
(843) 763-2000
Entity
Organization
Contact information
Practice address
1249A SAVANNAH HWY, CHARLESTON, SC 29407-7826
(843) 763-2000
(843) 763-2325
Mailing address
1249A SAVANNAH HWY, CHARLESTON, SC 29407-7826
(843) 763-2000
(843) 763-2325
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16710
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TL6836
—
SC
Enumeration date
03/01/2007
Last updated
01/31/2008
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