Organization
CHARLESTON ENT ASSOCIATES, LLC
Active
Other names
WS Charleston ENT Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE G BROWN MD (MD)
(843) 766-7103
Entity
Organization
Contact information
Practice address
2205 2ND AVENUE, SUMMERVILLE, SC 29486
(843) 766-7103
Mailing address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(843) 766-7103
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811383094
NPI
SC
Enumeration date
04/25/2018
Last updated
04/25/2018
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