Organization
CHARLESTON ENT ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE PATENAUDE (CREDENTIALING COORDINATOR)
(843) 576-2600
Entity
Organization
Contact information
Practice address
298 MIDLAND PKWY, SUMMERVILLE, SC 29485-8101
(843) 766-7103
(843) 302-0260
Mailing address
1849 SAVAGE RD, CHARLESTON, SC 29407-4726
(843) 766-7103
(843) 302-0260
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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