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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

NPI # 1588607303
LBN Legal business name CHARLESTON ENT ASSOCIATES, LLC
Authorized official EUGENE BROWN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2006
Last updated 12/08/2025 - About 6 months ago
Identifiers
SC Medicaid GP1728
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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