Organization
UNIVERSITY MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARYN RAE (DIRECTOR)
(843) 876-1344
Entity
Organization
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
10/23/2008
Last updated
11/21/2008
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