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CHARLESTON ADULTS AND GERIATRICS NPI 1821210121


NPI Information

NPI: 1821210121
Provider Name: CHARLESTON ADULTS AND GERIATRICS

Doing Business As: CHARLESTON ADULTS AND GRIATRICS

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
2175 ASHLEY PHOSPHATE RD
SUITE D
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 764-0770
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CHARLESTON ADULTS AND GERIATRICS is an internal medicine in North Charleston, SC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CHARLESTON ADULTS AND GERIATRICS NPI is 1821210121. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Charleston Adults And Griatrics.

The provider's business location address is:

2175 ASHLEY PHOSPHATE RD
SUITE D
NORTH CHARLESTON, SC
ZIP 29406-181
Phone: (843) 764-0770
Fax: (843) 863-0402

The provider's authorized official is Sara Elizabeth Mayno-hardy .
The authorized official title is Credentialing Coordinator and has the following contact phone number (843) 225-8320.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 9/9/2019.


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
1207Q00000XFamily MedicineSOUTH CAROLINANo
2207R00000XInternal Medicine13680SOUTH 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
1P00175892OTHERSOUTH CAROLINARAILROAD MEDICARE PIN
2GP4032MEDICAIDSOUTH CAROLINA
3GP6738MEDICAIDSOUTH 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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