| Medical University Hospital Authority | |
|
171 Ashley Ave Charleston SC 29425-8908 | |
| (843) 792-1414 | |
| Not Available |
| Full Name | Medical University Hospital Authority |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 171 Ashley Ave, Charleston, South Carolina |
| Authorized Official Name and Position | Karyn Rae (DIRECTOR) |
| Authorized Official Contact | 8438761344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical University Hospital Authority Po Box 751514 Charlotte NC 28275-1514 Ph: (843) 792-6200 | Medical University Hospital Authority 171 Ashley Ave Charleston SC 29425-8908 Ph: (843) 792-1414 |
| NPI Number | 1750432613 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 11/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750432613 | NPI | - | NPPES |
| DRC007 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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