| MUSC Physicians | |
|
171 Ashley Ave Charleston SC 29425-8908 | |
| (843) 792-1414 | |
| Not Available |
| Full Name | MUSC Physicians |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 171 Ashley Ave, Charleston, South Carolina |
| Authorized Official Name and Position | Karyn Rae (DIRECTOR) |
| Authorized Official Contact | 8438761344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| MUSC Physicians Po Box 751461 Charlotte NC 28275-1461 Ph: (843) 792-6200 | MUSC Physicians 171 Ashley Ave Charleston SC 29425-8908 Ph: (843) 792-1414 |
| NPI Number | 1003967050 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 12/04/2024 |
| Certification Date | 12/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003967050 | NPI | - | NPPES |
| GP0840 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | () | Primary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
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