| Charleston Psychiatric Associates, Pa | |
|
655 Saint Andrews Blvd Charleston SC 29407-7165 | |
| (843) 556-5502 | |
| (843) 556-0300 |
| Full Name | Charleston Psychiatric Associates, Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 655 Saint Andrews Blvd, Charleston, South Carolina |
| Authorized Official Name and Position | Mark D Beale (OWNER) |
| Authorized Official Contact | 8435565502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleston Psychiatric Associates, Pa Po Box 14035 Charleston SC 29422-4035 Ph: (843) 556-5502 | Charleston Psychiatric Associates, Pa 655 Saint Andrews Blvd Charleston SC 29407-7165 Ph: (843) 556-5502 |
| NPI Number | 1659302602 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 05/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659302602 | NPI | - | NPPES |
| GP3251 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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