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1275225492
MARK LEWIS CHARGUALAF
CHARLESTON, SC
NPI
1275225492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 4632)
Enumeration Date
2023-05-25
Last Update Date
2023-05-25
Business Address
MARK LEWIS CHARGUALAF PA-C
1327 ASHLEY RIVER RD
CHARLESTON, SC 29407-5384
Phone number: 843-405-9474
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Mailing Address
MARK LEWIS CHARGUALAF PA-C
1400 MIDTOWN AVE APT 406
MOUNT PLEASANT, SC 29464-3875
Phone number: 865-748-8987
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