| University Medical Associates Of The Medical University Of South Carol | |
|
171 Ashley Ave Charleston SC 29425-8908 | |
| (843) 792-1414 | |
| Not Available |
| Full Name | University Medical Associates Of The Medical University Of South Carol |
|---|---|
| Speciality | Family Medicine |
| Location | 171 Ashley Ave, Charleston, South Carolina |
| Authorized Official Name and Position | Karyn B Rae (DIRECTOR) |
| Authorized Official Contact | 8438761344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Medical Associates Of The Medical University Of South Carol Po Box 751461 Charlotte NC 28275-1461 Ph: (843) 792-6200 | University Medical Associates Of The Medical University Of South Carol 171 Ashley Ave Charleston SC 29425-8908 Ph: (843) 792-1414 |
| NPI Number | 1982678496 |
|---|---|
| Provider Enumeration Date | 02/14/2006 |
| Last Update Date | 01/11/2024 |
| Certification Date | 01/11/2024 |
| Medicare PECOS PAC ID | 6305758574 |
|---|---|
| Medicare Enrollment ID | O20240202001557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982678496 | NPI | - | NPPES |
| Provider Name | Andrew Cibulas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932562683 PECOS PAC ID: 6901195866 Enrollment ID: I20240206003480 |
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