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Individual

CHARLES BEACOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1563 SAM RITTENBERG BLVD, CHARLESTON, SC 29407-4248
(843) 277-2411
(855) 504-4089
Mailing address
1563 SAM RITTENBERG BLVD, CHARLESTON, SC 29407-4248
(843) 277-2411
(855) 504-4089

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6403
SC
225X00000X
Occupational Therapist

Other

Enumeration date
07/16/2018
Last updated
08/09/2025
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