Individual
EDUARDO CIFUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2777 SPEISSEGGER DR, CHARLESTON, SC 29405-8229
(843) 745-5153
(843) 766-8606
Mailing address
2777 SPEISSEGGER DRIVE, CHARLESTON, SC 29405-8299
(843) 745-5153
(843) 766-8606
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26779
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267794
—
SC
Enumeration date
07/07/2006
Last updated
11/18/2013
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