Organization
KIDNEY DISEASE CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES EFFIONG MD (CEO)
(843) 697-4132
Entity
Organization
Contact information
Practice address
1370 REMOUNT RD, STE D, NORTH CHARLESTON, SC 29406-3322
(843) 697-4132
(843) 566-0401
Mailing address
PO BOX 31093, CHARLESTON, SC 29417-1093
(843) 697-4132
(843) 566-0401
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
19174
SC
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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