Individual
PREETH A MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CHARLESTON PAIN &REHABILITATION CENTER, 1124 SAM RITTENBERG BLVD STE 1, CHARLESTON, SC 29407-3362
(843) 556-3462
Mailing address
10105 FALLON FARM RD APT 302, CHARLOTTE, NC 28278-7527
(704) 578-8872
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22762
SC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
22762
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227622
—
SC
Enumeration date
04/17/2006
Last updated
06/28/2023
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