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Dr. Theodore Edward Brisson, MD
Urology Physician in North Charleston, South Carolina
NPI 1699759563

Theodore Edward Brisson is a Urology Physician based in North Charleston, SC. Theodore Edward Brisson practices in North Charleston, SC and has the professional credentials of MD. The NPI Number for Theodore Edward Brisson is 1699759563 and holds a License No. ME90953 (South Carolina).

The current practice location address for Theodore Edward Brisson is 2890 Tricom Street, North Charleston, SC and can be reached out via phone at 843-797-6600 and via fax at 843-820-1440.

Location: 2890 Tricom Street, North Charleston, SC, 29406-9171
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699759563
Provider Name
Theodore Edward Brisson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2890 Tricom Street, North Charleston, SC, 29406-9171
Phone Number
843-797-6600
Fax Number
843-820-1440
Provider Enumeration Date
12/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7026 01 SC MEDICARE GROUP
GP4871 05 SC
institution
Provider Business Practice Location Address Details
Address
2890 Tricom Street
City
North Charleston
State
South Carolina
Zip
29406-9171
Phone Number
843-797-6600
Fax Number
843-820-1440
person
Provider Business Mailing Address Details
Address
2890 Tricom Street
City
North Charleston
State
South Carolina
Zip
29406-9171
Phone Number
843-797-6600
Fax Number
843-820-1440
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
ME90953 (Florida)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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