Individual
CHARLES SHIRLEY WEST JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28 MEDICAL RIDGE DR, GREENVILLE, SC 29605-4267
(864) 271-7440
(864) 271-6001
Mailing address
28 MEDICAL RIDGE DR, GREENVILLE, SC 29605-4267
(864) 271-7440
(864) 271-6001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6683
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068831
—
SC
Enumeration date
06/02/2006
Last updated
01/28/2014
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