Organization
CHARLESTON OB/GYN, LLC
Active
Other names
Charleston OB/Gyn, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE CARTER (ADMINISTRATIVE SUPERVISOR)
(843) 740-6700
Entity
Organization
Contact information
Practice address
1027 PHYSICIANS DR STE 110, CHARLESTON, SC 29414-5351
(843) 740-6700
(843) 745-9428
Mailing address
1027 PHYSICIANS DR STE 110, CHARLESTON, SC 29414-5351
(843) 740-6700
(843) 745-9428
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK4839
RAILROAD MEDICARE
SC
05
—
GP3554
—
SC
Enumeration date
06/10/2006
Last updated
03/01/2021
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