Organization
SCCA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH I. SCHLESINGER M.D. (PRINCIPLE PARTNER)
(843) 766-3301
Entity
Organization
Contact information
Practice address
730 STONY LANDING ROAD, ROPER ST. FRANCIS MEDICAL CENTER BERKELEY, MONCKS CORNER, SC 29461
(843) 766-3301
Mailing address
PO BOX 13509, CHARLESTON, SC 29422-3509
(843) 766-3301
(843) 762-3913
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14466
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144668
—
SC
Enumeration date
09/06/2006
Last updated
07/08/2008
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