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1063680197
CAROLINA GASTROENTEROLOGY & NUTRITION CLINICS, LLC
CHARLESTON, SC
NPI
1063680197
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Entity Type
Organization
Authorized Contact
CHARLES ALLEN BICKERSTAFF
Physician
843-762-9321
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: SC 8659)
Enumeration Date
2008-02-12
Last Update Date
2018-08-21
Business Address
CAROLINA GASTROENTEROLOGY & NUTRITION CLINICS, LLC
102 WAPPOO CREEK DR STE 10C
CHARLESTON, SC 29412
Phone number: 843-762-9321
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Mailing Address
CAROLINA GASTROENTEROLOGY & NUTRITION CLINICS, LLC
102 WAPPOO CREEK DR STE 10C
CHARLESTON, SC 29412-2144
Phone number: 843-762-9321
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