Organization
CAROLINA HEALTHCHOICE OF CHARLESTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER COMPTON (PRACTICE MANAGER)
(803) 764-0464
Entity
Organization
Contact information
Practice address
2679 LAKE PARK DR, NORTH CHARLESTON, SC 29406-9100
(803) 764-0464
Mailing address
1494 LAKE MURRAY BLVD, COLUMBIA, SC 29212-8697
(803) 764-0464
(803) 764-3126
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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