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2097 Henry Tecklenburg Dr Ste 206 West Charleston SC 29414-5740 | |
(843) 266-3659 | |
(843) 727-9903 |
Full Name | |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 2097 Henry Tecklenburg Dr, Charleston, South Carolina |
Authorized Official Name and Position | Douglas Bowling (VP RSFPN) |
Authorized Official Contact | 8437242903 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 751649 Charlotte NC 28275-1649 Ph: (843) 789-1620 | 2097 Henry Tecklenburg Dr Ste 206 West Charleston SC 29414-5740 Ph: (843) 266-3659 |
NPI Number | 1487989489 |
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Provider Enumeration Date | 10/08/2009 |
Last Update Date | 07/08/2010 |
Identifier | Type | State | Issuer |
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1487989489 | NPI | - | NPPES |
GP5282 | Medicaid | SC | |
DP0704 | Other | SC | RAILROAD MEDICARE GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (South Carolina) | Primary |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2097 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-572-7727 Fax: 843-569-5881 | |
Harold R Nicolette, Do, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 Carriage Ln, Suite B, Charleston, SC 29407 Phone: 843-766-4100 Fax: 843-571-4177 | |
Empowerme Medical Group, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2333 Ashley River Rd, Charleston, SC 29414 Phone: 877-367-9772 | |
Medical University Of South Carolina Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Barre St, Charleston, SC 29401 Phone: 901-292-7077 |