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Individual

DR. KENT J STOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1938 B CHARLIE HALL BLVD, CHARLESTON, SC 29414-5837
(843) 402-0227
(843) 402-0232
Mailing address
1938 B CHARLIE HALL BLVD, CHARLESTON, SC 29414-6099
(843) 402-0227
(843) 402-0232

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0533
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP1016
SC
Enumeration date
10/25/2005
Last updated
01/14/2011
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