DAVID D. EGLESTON MD PA NPI 1821268384

NPI Information

DAVID D. EGLESTON MD, PA is an adult medicine family medicine in Charleston, SC. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. DAVID D. EGLESTON MD, PA NPI is 1821268384. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

418 FOLLY RD
SUITE A
CHARLESTON, SC
ZIP 29412-625
Phone: (843) 795-5362
Fax: (843) 795-1921

The provider's authorized official is David D. Egleston .
The authorized official title is President and has the following contact phone number (843) 795-5362.

The enumeration date for this NPI number is 3/11/2008 and was last updated on 5/20/2008.

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:

Other Identifiers

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

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