Organization
CAROLINA CTR FOR OCCUP HEALTH
Active
Other names
Charleston Medical Arts Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERBERT DRAYTON III (ADMINISTRATOR)
(843) 554-1029
Entity
Organization
Contact information
Practice address
4600 GOER DR, STE. 205, NORTH CHARLESTON, SC 29406-6500
(843) 554-1029
(843) 554-1103
Mailing address
4600 GOER DR, STE. 205, NORTH CHARLESTON, SC 29406-6500
(843) 554-1029
(843) 554-1103
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
67825
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0280
—
SC
Enumeration date
02/28/2007
Last updated
07/10/2007
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