Individual
DR. JAN NEIL BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-6680
(843) 805-5798
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
(843) 805-5798
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9295
SC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
9295
SC
Other
Enumeration date
09/12/2006
Last updated
10/30/2020
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