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Contact Information

CHARLESTON GASTROENTEROLOGY SPECIALISTS
328 MIDLAND PKWY
SUMMERVILLE, SC29485-8102
 Phone: 843-722-8000
 Fax: 843-647-6066
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for CHARLESTON GASTROENTEROLOGY SPECIALISTS · (Female)

NPI # 1356050561
Status Active
Credentials
Entity Individual
Enumeration date 11/16/2022
Last updated 11/16/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid GP0680
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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