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COMPLETE COLON CARE PC NPI 1629002654


NPI Information

NPI: 1629002654
Provider Name: COMPLETE COLON CARE PC
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
2093 HENRY TECKLENBURG DR
SUITE 307 EAST
CHARLESTON, SC
ZIP 29414
Phone: (843) 763-3592
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COMPLETE COLON CARE PC is a colon rectal surgery in Charleston, SC. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. COMPLETE COLON CARE PC NPI is 1629002654. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2093 HENRY TECKLENBURG DR
SUITE 307 EAST
CHARLESTON, SC
ZIP 29414-744
Phone: (843) 763-3592
Fax: (843) 763-4171

The provider's authorized official is Christopher Lahr .
The authorized official title is President and has the following contact phone number (843) 763-3592.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 2/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208C00000XColon & Rectal SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1183142MEDICAIDSOUTH CAROLINA
23656MEDICARE PINSOUTH CAROLINA
3GP0359MEDICAIDSOUTH CAROLINA
4E13722MEDICARE UPINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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