Organization
TRIDENT NEONATOLOGY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ENGLAND (VP)
(800) 661-3365
Entity
Organization
Contact information
Practice address
9330 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9104
(843) 797-4272
(843) 797-4255
Mailing address
9330 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9104
(843) 797-4272
(843) 797-4255
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4028
—
SC
Enumeration date
10/20/2005
Last updated
04/20/2008
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