Organization
FOCUS.MD-SC 1001
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES THOMAS HUMPHRIES MD (PRESIDENT)
(704) 804-1901
Entity
Organization
Contact information
Practice address
1300 HOSPITAL DR, SUITE 310, MT PLEASANT, SC 29464-3261
(843) 737-6030
Mailing address
8045 PROVIDENCE RD, SUITE 325, CHARLOTTE, NC 28277-8745
(704) 804-1901
(704) 341-9996
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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