Organization
CHARLESTON ANESTHESIA GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN DALE HILLIARD (CFO)
(336) 884-1830
Entity
Organization
Contact information
Practice address
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5733
(843) 402-1000
Mailing address
PO BOX 93, LANDISVILLE, PA 17538-0093
(800) 800-1617
(866) 759-5426
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122771300
DEPT OF LABOR
SC
01
—
83059945
BLUE SHEILD
SC
01
—
DA3021
RR MEDICARE
SC
05
—
GP3724
—
SC
Enumeration date
09/30/2006
Last updated
10/01/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up