Low Country Ent Pa in North Charleston - Specialist
Low Country Ent Pa - NPI 1740478288
Low Country Ent Pa is a Specialist in North Charleston, South Carolina. Low Country Ent Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Low Country Ent Pa is 1740478288. The last update date is 2011-09-14.
Low Country Ent Pa's current location address is 2850 Tricom St, North Charleston, South Carolina. You can contact this provider via phone number 8438631188. The mailing address for Low Country Ent Pa is 2850 Tricom St, North Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Low Country Ent Pa |
|---|---|
| Address | 2850 Tricom St, North Charleston, South Carolina |
| Phone Number | 8438631188 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Pittman Kay Deanna |
| Telephone Number | 8438631188 |
NPI Number Detail
| NPI Number | 1740478288 |
|---|---|
| Provider Enumeration Date | 2007-10-10 |
| Last Updated Date | 2011-09-14 |
Provider Mailing Address Detail
| Address | 2850 Tricom St |
|---|---|
| City | North Charleston |
| State | South Carolina (SC) |
| Post Code | 294069192 |
| Phone Number | 8438631188 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 207Y00000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1992705099 | SC | NPI FOR RUSSELL D. KITCH MD | |
| GP2380 | SC | -- |
Post Comment/ Review Below
What is the Low Country Ent Pa's 1740478288?
The Low Country Ent Pa's NPI (National Provider Identifier) Number is 1740478288. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Low Country Ent Pa?
The Low Country Ent Pa is physically situated at 2850 Tricom St, in the city of North Charleston, state of SC, with the postal code 294069192.
What is the Low Country Ent Pa's specialty and taxonomy code?
The Low Country Ent Pa's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740478288 to Low Country Ent Pa?
The Centers for Medicare & Medicaid Services assigned the 1740478288 to Low Country Ent Pa on 2007-10-10.
When was the Low Country Ent Pa's information last updated?
The Low Country Ent Pa's information was last updated on 2011-09-14.