Individual
DR. NOEMI R PAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16 WINDERMERE BLVD, CHARLESTON, SC 29407-7412
(843) 766-9053
(843) 766-8853
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101238238
VA
207Q00000X
Family Medicine Physician
Primary
28816
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288165
—
SC
01
—
P00727223
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
02/24/2006
Last updated
01/25/2021
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