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Organization

CHARLESTON ENT ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EUGENE G BROWN (MD)
(843) 763-5342
Entity
Organization

Contact information

Practice address
2801 DEVINE ST STE 101, COLUMBIA, SC 29205-2511
(803) 256-7076
Mailing address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(843) 766-7103

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
01/08/2021
Last updated
01/08/2021
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