Individual
DR. TIMOTHY MICHAEL ZGLESZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2679 LAKE PARK DR, NORTH CHARLESTON, SC 29406-9100
(843) 573-9997
(803) 470-4715
Mailing address
PO BOX 7227, WEST COLUMBIA, SC 29171-7227
(803) 218-9886
(803) 470-4715
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
78001
GA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
22912
SC
208VP0014X
Interventional Pain Medicine Physician
78001
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400863
—
SC
05
—
T71703
—
SC
Enumeration date
04/26/2006
Last updated
03/10/2025
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