Provider Type Icon

LOW COUNTRY ENT PA NPI 1740478288


NPI Information

NPI: 1740478288
Provider Name: LOW COUNTRY ENT PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2850 TRICOM ST
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 863-1188
Get Directions

LOW COUNTRY ENT PA is a specialist in North Charleston, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LOW COUNTRY ENT PA NPI is 1740478288. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2850 TRICOM ST
NORTH CHARLESTON, SC
ZIP 29406-192
Phone: (843) 863-1188

The provider's authorized official is Deanna Kay Pittman .
The authorized official title is Manager and has the following contact phone number (843) 863-1188.

The enumeration date for this NPI number is 10/10/2007 and was last updated on 9/14/2011.


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
1174400000XSpecialist207Y00000XSOUTH CAROLINAYes

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
1A13744MEDICARE UPINSOUTH CAROLINA
21992705099OTHERSOUTH CAROLINANPI FOR RUSSELL D. KITCH MD
3A137446197MEDICARE PINSOUTH CAROLINA
4GP2380MEDICAIDSOUTH 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.