Individual
ROBERT JOHN TEACHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
776 DANIEL ELLIS DR, SUITE 1-B, CHARLESTON, SC 29412-3094
(843) 795-0300
(843) 795-1952
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
930
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009305
—
SC
01
—
P01157479
RR-MEDICARE
SC
Enumeration date
10/13/2006
Last updated
06/10/2021
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