Organization
CHARLESTON NEUROSURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT A FAILE III MHA (ADMINISTRATOR)
(843) 723-8823
Entity
Organization
Contact information
Practice address
9275 MEDICAL PLAZA DR STE B, N CHARLESTON, SC 29406-9140
(843) 553-9300
(843) 569-7651
Mailing address
9275 MEDICAL PLAZA DR STE B, N CHARLESTON, SC 29406-9140
(843) 553-9300
(843) 569-7651
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
7798
SC
Other
Enumeration date
05/08/2006
Last updated
10/31/2007
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