person
Henry Othersen JR., MD
Pediatric Surgery Physician in Charleston, South Carolina
NPI 1073628913

Henry Othersen JR. is a Pediatric Surgery Physician based in Charlotte, SC and is specialized in Pediatric Surgery. Henry Othersen JR. practices in Charleston, SC and has the professional credentials of MD. The NPI Number for Henry Othersen JR. is 1073628913 and holds a License No. 3602 (South Carolina).

The current practice location address for Henry Othersen JR. is 171 Ashley Ave, Charleston, SC and can be reached out via phone at 843-792-1414.

Location: 171 Ashley Ave, Charleston, SC, 28275-1461
person
Provider Profile Details
NPI Number
1073628913
Provider Name
Henry Othersen JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
171 Ashley Ave, Charleston, SC, 28275-1461
Phone Number
843-792-1414
Fax Number
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036026 05 SC
institution
Provider Business Practice Location Address Details
Address
171 Ashley Ave
City
State
Zip
29425-0001
Phone Number
843-792-1414
Fax Number
person
Provider Business Mailing Address Details
Address
171 Ashley Ave
City
State
Zip
29425-0001
Phone Number
843-792-1414
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
License No.
3602 (South Carolina)
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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