Individual
DR. PAUL EDMUND DONATELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2450
(843) 724-2455
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TL30720
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307206
—
SC
01
—
P00615493
RR MC ID-PRIOR TO 5/1/09
SC
01
—
P00727201
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
05/19/2008
Last updated
10/20/2015
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