| Charleston Midwife Services | |
|
1300 Hospital Dr Ste 270 Mount Pleasant SC 29464-3244 | |
| (843) 818-1123 | |
| (843) 818-1126 |
| Full Name | Charleston Midwife Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1300 Hospital Dr Ste 270, Mount Pleasant, South Carolina |
| Authorized Official Name and Position | Lesley Rathbun (OWNER) |
| Authorized Official Contact | 8438181123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleston Midwife Services 1300 Hospital Dr Ste 270 Mount Pleasant SC 29464-3244 Ph: (843) 818-1123 | Charleston Midwife Services 1300 Hospital Dr Ste 270 Mount Pleasant SC 29464-3244 Ph: (843) 818-1123 |
| NPI Number | 1255526141 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 03/24/2020 |
| Medicare PECOS PAC ID | 5991925687 |
|---|---|
| Medicare Enrollment ID | O20140930003159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255526141 | NPI | - | NPPES |
| GP4798 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 010773861 (South Carolina) | Primary |
| Provider Name | Lesley Beth Rathbun |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811962392 PECOS PAC ID: 0648248468 Enrollment ID: I20040920001026 |
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