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Contact Information

CHARLESTON BONE & JOINT PA
767 JOHNNIE DODDS BLVD
MOUNT PLEASANT, SC29464-3027
 Phone: 843-853-3474
 Fax: 843-853-3500
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Orthopaedic Trauma

207XX0801X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHARLESTON BONE JOINT PA · (Female)

NPI Number 1184828808
Status Active
Credentials
Entity Individual
Enumeration date 06/14/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid GP0535
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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