CHARLESTON ENT ASSOCIATES, LLC
Surgery Yellow Pages
Charleston, South Carolina
Provider NPI: 1124026422
Organization Information:Organization Name: CHARLESTON ENT ASSOCIATES, LLC
Practice Location:
1849 SAVAGE RD CHARLESTON, SC 29407 US
Tel: 803-766-7103 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1849 SAVAGE RD CHARLESTON, SC 29407 US
Tel: 803-766-7103 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | SC | ASF072 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
RAILROAD MEDICARE | P01419594 | SC | 01 |
ASC044 | SC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin