Organization
MUSC AFFILIATE PHYSICIANS
Active
Other names
MUSC Affiliate Physicians PCP
Organization subpart
No
Provider details
NPI number
Authorized official
KARYN RAE (CHAIR, PAYOR RELATIONS & FINANCE)
(843) 876-1344
Entity
Organization
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 936934, ATLANTA, GA 31193-6934
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
04/07/2021
Last updated
05/19/2021
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