Organization
PARKWOOD PEDIATRIC GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES W KISABETH M.D. (PHYSICIAN)
(843) 266-7636
Entity
Organization
Contact information
Practice address
1243 SAVANNAH HWY, CHARLESTON, SC 29407-7817
(843) 556-8110
(843) 556-8112
Mailing address
1243 SAVANNAH HWY, CHARLESTON, SC 29407-7817
(843) 556-8110
(843) 556-8112
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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