Individual
JAVIER ENRIQUE CARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
557 COLUMBIA AVE STE B, CHAPIN, SC 29036-8324
(803) 345-3414
(803) 345-1672
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22639
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080174872
RR MEDICARE
SC
05
—
T66871
—
SC
Enumeration date
06/13/2006
Last updated
05/05/2025
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