person
Mr. Joseph C. Mctavish, PA
Surgical Physician Assistant in Charleston, South Carolina
NPI 1164753430

Joseph C. Mctavish is a Surgical Physician Assistant based in Charlotte, SC and is specialized in Surgical. Joseph C. Mctavish practices in Charleston, SC and has the professional credentials of PA. The NPI Number for Joseph C. Mctavish is 1164753430 and holds a License No. 1502 (South Carolina).

The current practice location address for Joseph C. Mctavish is 2145 Henry Tecklenburg Dr, Charleston, SC and can be reached out via phone at 843-723-8823 and via fax at 843-722-8124.

Location: 2145 Henry Tecklenburg Dr, Charleston, SC, 28275-1649
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Provider Profile Details
NPI Number
1164753430
Provider Name
Joseph C. Mctavish
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2145 Henry Tecklenburg Dr, Charleston, SC, 28275-1649
Phone Number
843-723-8823
Fax Number
843-722-8124
Provider Enumeration Date
01/26/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0924PA 05 SC
institution
Provider Business Practice Location Address Details
Address
2145 Henry Tecklenburg Dr
City
State
Zip
29414-5893
Phone Number
843-723-8823
Fax Number
843-722-8124
person
Provider Business Mailing Address Details
Address
2145 Henry Tecklenburg Dr
City
State
Zip
29414-5893
Phone Number
843-723-8823
Fax Number
843-722-8124
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
1502 (South Carolina)
Definition
Definition to come...
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