Individual
CHARLIE W DEVLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
114 GATEWAY CORPORATE BLVD STE 120, COLUMBIA, SC 29203-9785
(803) 409-7150
(803) 409-7158
Mailing address
PO BOX 935722, ATLANTA, GA 31193-5722
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
12551
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125518
—
SC
Enumeration date
06/06/2006
Last updated
08/25/2021
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