Organization
CHARLESTON OCULOPLASTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAKESH PATEL (OWNER)
(919) 358-3474
Entity
Organization
Contact information
Practice address
302 WINGO WAY STE 203, MOUNT PLEASANT, SC 29464-2839
(919) 358-3474
Mailing address
302 WINGO WAY STE 202, MOUNT PLEASANT, SC 29464-5299
(843) 790-7582
(843) 790-7583
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
12/22/2023
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