| NPI | 1821210121 |
|---|---|
| Doing Business As | CHARLESTON ADULTS AND GRIATRICS |
| Entity Type | Organization |
| Authorized Contact | SARA ELIZABETH MAYNO-HARDY Credentialing Coordinator 843-225-8320 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 13680) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2019-09-09 |