Organization
CHARLESTON NEUROSCIENCE INSTITUTE
Active
Parent organization
CHARLESTON NEUROSCIENCE INSTITUTE
Other names
CHARLESTON SLEEP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLESTON NEUROSCIENCE INSTITUTE
Authorized official
DR. ERIC JABLON MD (PARTNER)
(843) 216-7144
Entity
Organization
Contact information
Practice address
590 LONE TREE DRIVE STE 101, MOUNT PLEASANT, SC 29464
(843) 216-7144
(843) 216-7145
Mailing address
590 LONE TREE DRIVE STE 101, MOUNT PLEASANT, SC 29464
(843) 216-7144
(843) 216-7145
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4411
—
SC
Enumeration date
02/25/2009
Last updated
05/07/2009
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