Individual
DR. MASON JAMES WALGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425-8905
(843) 792-0435
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39795
SC
208000000X
Pediatrics Physician
39795
SC
208M00000X
Hospitalist Physician
Primary
39795
SC
Other
Enumeration date
06/15/2016
Last updated
10/29/2025
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