Organization
CHARLESTON GERIATRICS AND POST - ACUTE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E KLECKLEY MD (OWNER)
(843) 209-1454
Entity
Organization
Contact information
Practice address
930 TALL PINE RD, MOUNT PLEASANT, SC 29464-2910
(843) 209-1454
Mailing address
930 TALL PINE RD, MOUNT PLEASANT, SC 29464-2910
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
29749
SC
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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