Organization
DAVID D. EGLESTON MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID D. EGLESTON MD (PRESIDENT)
(843) 795-5362
Entity
Organization
Contact information
Practice address
418 FOLLY RD, SUITE A, CHARLESTON, SC 29412-2625
(843) 795-5362
(843) 795-1921
Mailing address
418 FOLLY RD, SUITE A, CHARLESTON, SC 29412-2625
(843) 795-5362
(843) 795-1921
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070568
—
SC
Enumeration date
03/11/2008
Last updated
05/20/2008
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