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Organization

CHARLESTON ENT ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EUGENE G BROWN (MD)
(843) 763-5342
Entity
Organization

Contact information

Practice address
200 ARBOR LAKE DR STE 120, COLUMBIA, SC 29223-4516
(803) 457-8120
Mailing address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(843) 766-7103

Taxonomy

Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary

Other

Enumeration date
01/08/2021
Last updated
01/08/2021
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