Organization
COGENT HEALTHCARE OF SOUTH CAROLINA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN A. BROWNIE (TREASURER)
(615) 377-5630
Entity
Organization
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2000
Mailing address
5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027-5064
(615) 377-5670
(615) 377-1687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3987
—
SC
Enumeration date
06/01/2006
Last updated
05/21/2008
Update your record
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