Individual
RICK LANE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9330 MEDICAL PLAZA DRIVE, CHARLESTON, SC 29406
(843) 847-3225
(843) 847-3247
Mailing address
9330 MEDICAL PLAZA DRIVE, CHARLESTON, SC 29406
(843) 847-3225
(843) 847-3247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22114
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221147
—
SC
Enumeration date
05/09/2006
Last updated
11/17/2020
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