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Organization

CBD MEDICAL ENTERPRISES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS A DUC JR. MD (PRESIDENT)
(843) 762-3235
Entity
Organization

Contact information

Practice address
1341 OLD GEORGETOWN HWY, SUITE B, MT PLEASANT, SC 29464
(843) 216-9870
(843) 216-9872
Mailing address
702 WHISPERING MARSH DR, CHARLESTON, SC 29412
(843) 762-3235

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13634
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
13634
SC
208VP0000X
Pain Medicine Physician
13634
SC

Other

Enumeration date
05/02/2007
Last updated
03/30/2015
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