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CHARLESTON NEPHROLOGY ASSOCIATES LLC NPI 1629054960


NPI Information

NPI: 1629054960
Provider Name: CHARLESTON NEPHROLOGY ASSOCIATES, LLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
3815 FABER PLACE DR
NORTH CHARLESTON, SC
ZIP 29405
Phone: (843) 767-9312
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CHARLESTON NEPHROLOGY ASSOCIATES, LLC is a nephrology internal medicine in North Charleston, SC. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. CHARLESTON NEPHROLOGY ASSOCIATES, LLC NPI is 1629054960. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3815 FABER PLACE DR
NORTH CHARLESTON, SC
ZIP 29405-533
Phone: (843) 767-9312
Fax: (843) 767-9313

The provider's authorized official is Lane M Floyd .
The authorized official title is Practice Administrator and has the following contact phone number (843) 767-9312.

The enumeration date for this NPI number is 12/19/2005 and was last updated on 10/18/2007.


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
1207RN0300XInternal MedicineNephrologyYes

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
1H31645MEDICARE UPINSOUTH CAROLINA
2G57327MEDICARE UPINSOUTH CAROLINA
3GP2517MEDICAIDSOUTH CAROLINA
46317MEDICARE PINSOUTH CAROLINA
5G91086MEDICARE UPINSOUTH CAROLINA
6P01873MEDICARE UPINSOUTH CAROLINA
72517MEDICAIDSOUTH CAROLINA
86317MEDICARE PIN
9GP6317MEDICARE PINSOUTH CAROLINA
10P89412MEDICARE UPINSOUTH CAROLINA
11E97914MEDICARE UPINSOUTH CAROLINA
12F69249MEDICARE UPINSOUTH CAROLINA
13H78680MEDICARE UPINSOUTH CAROLINA
14C60633MEDICARE 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: 11/14/2023

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