Organization
CHARLESTON ENT ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL M. GRUBB MS MBA (CEO)
(843) 766-7103
Entity
Organization
Contact information
Practice address
1849 SAVAGE RD, CHARLESTON, SC 29407-4726
(843) 766-7103
Mailing address
1849 SAVAGE RD, CHARLESTON, SC 29407-4726
(843) 766-7103
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3896
SC
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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