Individual
DR. DAVID DU BOSE EGLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
418 FOLLY RD, SUITE A, CHARLESTON, SC 29412
(843) 795-5362
(843) 795-1921
Mailing address
PO BOX 13955, CHARLESTON, SC 29422-3955
(843) 795-5362
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
7056
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070568
—
SC
01
—
202583825
BCBS ID NUMBER
SC
05
—
GP6738
—
SC
01
—
P00247623
RAILROAD MEDICARE
SC
Enumeration date
03/23/2006
Last updated
08/11/2015
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