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Contact Information

CHARLESTON ENT ASSOCIATES, LLC
2295 HENRY TECKLENBURG DR
CHARLESTON, SC29414-7801
 Phone: 843-766-6103
 Fax: 843-576-2592
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for CHARLESTON ENT ASSOCIATES LLC · (Female)

NPI Number 1588607303
Status Active
Credentials
Entity Individual
Enumeration date 06/13/2006
Last updated 12/08/2025 - About 6 months ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid GP1728
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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