Organization
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARYN B RAE MHA (DIRECTOR)
(843) 876-1344
Entity
Organization
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-2300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
364S00000X
Clinical Nurse Specialist
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/13/2006
Last updated
11/30/2011
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