Organization
MEDICAL UNIVERSITY OF SOUTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEENA WYATT (RESIDENCY PROGRAM COORDINATOR)
(843) 792-4316
Entity
Organization
Contact information
Practice address
167 ASHLEY AVENUE, SUITE 301, CHARLESTON, SC 29425
(843) 792-4316
(843) 792-9314
Mailing address
167 ASHLEY AVENUE, SUITE 301, CHARLESTON, SC 29425
(843) 792-4316
(843) 792-9314
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
LL28899
SC
Other
Enumeration date
06/29/2007
Last updated
08/22/2020
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