Individual
MARY LOU C. APPLEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2450
(843) 724-2455
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12969
SC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
12969
SC
207RP1001X
Pulmonary Disease Physician
12969
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129694
—
SC
01
—
P00469861
RAILROAD MEDICARE ID
SC
01
—
P00775519
RAILROAD MEDICARE ID-AFTER 5/1/2009
SC
Enumeration date
01/31/2006
Last updated
10/19/2015
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