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Individual

DR. CHARLES VICTOR WELDEN IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
114 DOUGHTY ST STE 249, CHARLESTON, SC 29425-1900
(843) 792-2301
(843) 876-7232
Mailing address
1445 LETTERED OLIVE LN, MOUNT PLEASANT, SC 29464-5716
(205) 427-4558

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52593
SC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
52593
MEDICAL LICENSE
SC
Enumeration date
04/27/2015
Last updated
12/10/2018
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