Individual
ZACHARY MANSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
135 RUTLEDGE AVE, CHARLESTON, SC 29425-5510
(843) 792-1414
Mailing address
1743 CENTRAL PARK RD APT 207, CHARLESTON, SC 29412-2875
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL83316
SC
Other
Enumeration date
06/27/2017
Last updated
07/22/2020
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