Individual
CHRISTIAN TODD MINSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
9330 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9104
(843) 797-7000
Mailing address
2000 HEALTH PARK DR FL 1, BRENTWOOD, TN 37027-4525
(615) 372-5068
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
29574
SC
208600000X
Surgery Physician
N8423
TX
2086S0102X
Surgical Critical Care Physician
272743
MA
2086S0102X
Surgical Critical Care Physician
Primary
29574
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295745
—
SC
01
—
SCP6463365
MEDICARE PIN
SC
Enumeration date
06/04/2006
Last updated
08/16/2023
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