CHARLESTON MEDICAL ASSOCIATES NPI 1376033829

NPI Information

NPI: 1376033829
Provider Name: CHARLESTON MEDICAL ASSOCIATES

Doing Business As: GENERATIONS PEDIATRICS AND INTERNAL MEDICINE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1483 TOBIAS GADSON BLVD STE 101
CHARLESTON, SC
ZIP 29407
Phone: (843) 405-1110
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CHARLESTON MEDICAL ASSOCIATES is a primary care clinic center in Charleston, SC. CHARLESTON MEDICAL ASSOCIATES NPI is 1376033829. The provider is registered as an organization entity type.
The provider Is Doing Business As Generations Pediatrics And Internal Medicine.

The provider's business location address is:

1483 TOBIAS GADSON BLVD STE 101
CHARLESTON, SC
ZIP 29407-795
Phone: (843) 405-1110

The provider's authorized official is Matthew Justice Kornegay .
The authorized official title is Managing Partner and has the following contact phone number (843) 614-7953.

The enumeration date for this NPI number is 5/10/2018 and was last updated on 5/10/2018.

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	311442	MEDICAID	SOUTH 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

NPI Synchronization or Removal

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