Organization
MEDICAL UNIVERSITY OF SOUTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRESTON CHURCH M.D. (ID PROGRAM DIRECTOR)
(843) 792-6174
Entity
Organization
Contact information
Practice address
67 PRESIDENT ST, SUITE 210 IOP SOUTH, CHARLESTON, SC 29425-5712
(843) 792-6174
Mailing address
67 PRESIDENT ST, SUITE 210 IOP SOUTH, CHARLESTON, SC 29425-5712
(843) 792-6174
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
29688
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29688
STATE LICENSE NUMBER
SC
Enumeration date
07/16/2007
Last updated
08/20/2007
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