Individual
DR. CHARLES ANDREW PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 E WOOD ST, STE. 401, SPARTANBURG, SC 29303-3004
(864) 560-6851
(864) 560-7312
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9187
SC
207RG0100X
Gastroenterology Physician
9187
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091876
—
SC
01
—
29311
MEDCOST
SC
01
—
4275342
AETNA
SC
05
—
890615B
—
NC
Enumeration date
01/27/2006
Last updated
03/03/2016
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