Organization
LOWCOUNTRY NEUROLOGY AND HEADACHE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES G SHISSIAS M.D. (OWNER)
(843) 770-0404
Entity
Organization
Contact information
Practice address
300 MIDTOWN DR, BEAUFORT, SC 29906-5200
(843) 770-0404
(843) 522-3515
Mailing address
300 MIDTOWN DR, BEAUFORT, SC 29906-5200
(843) 770-0404
(843) 522-3515
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
21645
SC
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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