| MUSC Affiliate Physicians Pcp | |
|
171 Ashley Ave Charleston SC 29425-8908 | |
| (843) 792-1414 | |
| Not Available |
| Full Name | MUSC Affiliate Physicians Pcp |
|---|---|
| Speciality | Family Medicine |
| Location | 171 Ashley Ave, Charleston, South Carolina |
| Authorized Official Name and Position | Karyn Rae (CHAIR, PAYOR RELATIONS & FINANCE) |
| Authorized Official Contact | 8438761344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| MUSC Affiliate Physicians Pcp Po Box 936934 Atlanta GA 31193-6934 Ph: (843) 792-6200 | MUSC Affiliate Physicians Pcp 171 Ashley Ave Charleston SC 29425-8908 Ph: (843) 792-1414 |
| NPI Number | 1548849482 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 05/19/2021 |
| Certification Date | 05/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548849482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| 207V00000X | Obstetrics & Gynecology | () | Secondary |
| 208000000X | Pediatrics | () | Secondary |
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