Individual
DR. CHARLES A BICKERSTAFF JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 WAPPOO CREEK DR STE 10C, CHARLESTON, SC 29412
(843) 762-9321
(843) 406-9777
Mailing address
452 FOLLY RD, SUITE A, CHARLESTON, SC 29412-2641
(843) 762-9321
(843) 406-9777
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
8659
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3774
—
SC
Enumeration date
11/09/2005
Last updated
08/27/2018
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