Charity Denise Self, is a
Student In An Organized Health Care Education/training Program based in Marion, South Carolina. Charity Denise Self is licensed to practice in * (Not Available) (license number ) and her current practice location is
902 Willcox Avenue Ext, Marion, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(571) 277-1967.
NPI number for Charity Denise Self is 1497677769 and her current mailing address is 902 Willcox Avenue Ext, Marion, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497677769.
Provider's Profile
| Full Name | Charity Denise Self |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 902 Willcox Avenue Ext, Marion, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1497677769
- Provider Enumeration Date: 07/28/2026
- Last Update Date: 07/28/2026
Medical Identifiers
Medical identifiers for Charity Denise Self such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497677769 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charity Denise Self is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Charity Denise Self,
902 Willcox Avenue Ext,
Marion, SC 29571-2234
Ph: (571) 277-1967 | Charity Denise Self,
902 Willcox Avenue Ext,
Marion, SC 29571-2234
Ph: (571) 277-1967 |
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