Organization
CHARLESTON BIRTH PLACE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY RATHBUN CNM (OWNER/DIRECTOR)
(843) 818-1123
Entity
Organization
Contact information
Practice address
9133 TIMBER ST, SUITE 101, NORTH CHARLESTON, SC 29406
(843) 818-1123
(843) 818-1126
Mailing address
1300 HOSPITAL DR STE 270, MOUNT PLEASANT, SC 29464-3244
(843) 818-1123
(843) 818-1126
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
BC-007
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4823
—
SC
Enumeration date
09/13/2007
Last updated
03/24/2020
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