Organization
HEALTH FIRST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GASTON G MACHADO JR. M.D. (MEDICAL DIRECTOR)
(843) 572-5990
Entity
Organization
Contact information
Practice address
8740 RIVERS AVE, NORTH CHARLESTON, SC 29406-9211
(843) 572-3599
Mailing address
8740 RIVERS AVE, NORTH CHARLESTON, SC 29406-9211
(843) 572-3599
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13512
SC
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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