Organization
HEALTH FIRST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GASTON MACHADO M.D. (MEDICAL DIRECTOR)
(843) 572-5990
Entity
Organization
Contact information
Practice address
2863 N HIGHWAY 17, MOUNT PLEASANT, SC 29466-8962
(843) 572-5990
Mailing address
8740 RIVERS AVE, NORTH CHARLESTON, SC 29406-9211
(843) 572-5990
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
13512
SC
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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