CHARLESTON THYROID & ENDOCRINE SPECIALISTS LLC NPI 1194116707

NPI Information

  • NPI: 1194116707
  • Provider Name: CHARLESTON THYROID & ENDOCRINE SPECIALISTS LLC
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • Address: 418 FOLLY RD
    SUITE A
    CHARLESTON, SC
    ZIP 29412
  • Phone: (843) 789-6364

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NPI Details

CHARLESTON THYROID & ENDOCRINE SPECIALISTS LLC is an endocrinology and diabetes and metabolism internal medicine in Charleston, SC. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. CHARLESTON THYROID & ENDOCRINE SPECIALISTS LLC NPI is 1194116707. 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) 789-6364

The provider's authorized official is Lissa C Lara .
The authorized official title is Ceo and has the following contact phone number (843) 412-1590.

The enumeration date for this NPI number is 2/18/2015 and was last updated on 2/18/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism36116SOUTH CAROLINAYes

What is NPI?

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This page was last updated on: 11/21/2025

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