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Contact Information

EUGENE ANCRUM II, PA
8720 DORCHESTER RD
NORTH CHARLESTON, SC29420-7303
 Phone: 843-789-1620
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for EUGENE ANCRUM II · (Male)

NPI Number 1043694334
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/16/2015
Last updated 04/09/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • SC License # 2439
  • SC Medicaid 2431PA
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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