Individual
GENTA UEHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
96 JONATHAN LUCAS ST RM 822, CHARLESTON, SC 29425-8900
(843) 792-9188
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8900
(843) 792-9188
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
LL82297
SC
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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