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Contact Information

CHARLESTON ADDICTION MEDICINE, LLC
2175 ASHLEY PHOSPHATE RD
SUITE G
NORTH CHARLESTON, SC29406-4181
 Phone: 843-225-8406
 Fax: 843-225-8410
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for CHARLESTON ADDICTION MEDICINE LLC · (Female)

NPI Number 1982037529
Status Active
Credentials
Entity Individual
Enumeration date 08/19/2013
Last updated 08/19/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 18976
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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