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2067 Charlie Hall Blvd Charleston SC 29414-5834 | |
| (843) 573-2535 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Pediatrics |
| Location | 2067 Charlie Hall Blvd, Charleston, South Carolina |
| Authorized Official Name and Position | Karyn Rae (MANAGER) |
| Authorized Official Contact | 8438761344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 602108 Charlotte NC 28260-2108 Ph: (843) 792-6500 | 2067 Charlie Hall Blvd Charleston SC 29414-5834 Ph: (843) 573-2535 |
| NPI Number | 1003846783 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 01/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003846783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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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 |