Organization
CHARLESTON ENT ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE THOMPSON (DIRECTOR OF PATIENT ACCOUNTS)
(843) 793-5551
Entity
Organization
Contact information
Practice address
832 COOK RD, ORANGEBURG, SC 29118-2126
(843) 766-7103
Mailing address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(843) 766-7103
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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