| Avant Mso, Llc | |
|
2500 Elms Center Rd North Charleston SC 29406-9844 | |
| (843) 572-7727 | |
| Not Available |
| Full Name | Avant Mso, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2500 Elms Center Rd, North Charleston, South Carolina |
| Authorized Official Name and Position | Richard M Lauve (CEO) |
| Authorized Official Contact | 8435727727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avant Mso, Llc 2500 Elms Center Rd North Charleston SC 29406-9844 Ph: (843) 572-7727 | Avant Mso, Llc 2500 Elms Center Rd North Charleston SC 29406-9844 Ph: (843) 572-7727 |
| NPI Number | 1104209477 |
|---|---|
| Provider Enumeration Date | 07/06/2015 |
| Last Update Date | 07/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104209477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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