Individual
DR. CHARLES JOSEPH NIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 PLANTATION PARK DRIVE, BLUFFTON, SC 29910
(843) 705-7471
(843) 705-7475
Mailing address
19 ROSE HILL DR, BLUFFTON, SC 29910-4720
(843) 705-7471
(843) 705-7475
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
18439
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184393
—
SC
Enumeration date
08/12/2005
Last updated
12/22/2015
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