Individual
DR. THEODORE M PAPPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 SAM RITTENBERG BLVD STE 6, CHARLESTON, SC 29407-5031
(843) 973-5393
(833) 994-1098
Mailing address
1401 SAM RITTENBERG BLVD STE 6, CHARLESTON, SC 29407-5031
(843) 973-5393
(833) 994-1098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15935
SC
207Q00000X
Family Medicine Physician
Primary
15938
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15938
—
SC
01
—
P00982687
RAILROAD MEDICARE ID-RSFPN
SC
01
—
S1251087
MEDICARE
SC
Enumeration date
08/03/2006
Last updated
03/26/2026
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