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Advantage Healthcare Of Charleston Llc
General Practice Physician in Goose Creek, South Carolina
NPI 1790086726

Advantage Healthcare Of Charleston Llc is a General Practice Physician based in Goose Creek, SC. Advantage Healthcare Of Charleston Llc practices in Goose Creek, SC. The NPI Number for Advantage Healthcare Of Charleston Llc is 1790086726 and holds a License No. 28866 (South Carolina).

The current practice location address for Advantage Healthcare Of Charleston Llc is 122 S Goose Creek Blvd, Goose Creek, SC and can be reached out via phone at 843-553-2211 and via fax at 843-553-2210. You can also correspond with Advantage Healthcare Of Charleston Llc through the mailing address at 122 S. GOOSE CREEK BLVD, GOOSE CREEK, SC - 29445-0488 (mailing address contact number: 843-553-2211).

Location: 122 S Goose Creek Blvd, Goose Creek, SC, 29445-0488
institution
Provider Profile Details
NPI Number
1790086726
Provider Name
Advantage Healthcare Of Charleston Llc
Credential
Provider Entity Type
Organization
Address
122 S Goose Creek Blvd, Goose Creek, SC, 29445-0488
Phone Number
843-553-2211
Fax Number
843-553-2210
Provider Enumeration Date
11/08/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AA66739888 01 SC MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
122 S Goose Creek Blvd
City
State
Zip
29445-3136
Phone Number
843-553-2211
Fax Number
843-553-2210
person
Provider Business Mailing Address Details
Address
122 S. Goose Creek Blvd
City
State
Zip
29445-0488
Phone Number
843-553-2211
Fax Number
843-553-2210
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
28866 (South Carolina)
Definition
Definition to come...
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