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1073628913
HENRY OTHERSEN
CHARLESTON, SC
NPI
1073628913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0120X Surgery, Pediatric Surgery
(Licence: SC 3602)
Enumeration Date
2006-08-20
Last Update Date
2007-07-08
Business Address
-- HENRY OTHERSEN MD
171 ASHLEY AVE
CHARLESTON, SC 29425-0001
Phone number: 843-792-1414
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Mailing Address
-- HENRY OTHERSEN MD
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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