Organization
HARBOR TOWN PULMONARY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BALL M.D. (OWNER)
(843) 573-2255
Entity
Organization
Contact information
Practice address
12-A FARMFIELD AVE, CHARLESTON, SC 29407-7755
(843) 573-2255
(843) 573-2291
Mailing address
12-A FARMFIELD AVE, CHARLESTON, SC 29407-7755
(843) 573-2255
(843) 573-2291
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13794
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3875
—
SC
Enumeration date
05/17/2006
Last updated
11/21/2011
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