Charleston Adults And Griatrics

LBN: Charleston Adults And Geriatrics
Charleston Adults And Griatrics is an health care organization with primary practice located at 2175 Ashley Phosphate Rd Suite D, North Charleston SC 29406-4181. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Charleston Adults And Geriatrics can be contacted via phone (843) 764-0770, or through Mayno-Hardy, Sara Elizabeth via phone (843) 225-8320.

Contact Information

Primary practice address
2175 Ashley Phosphate Rd Suite D North Charleston SC 29406-4181
Fax: (843) 863-0402
Website:
Authorized official contact:
Name: Mayno-Hardy, Sara Elizabeth

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 13680 South Carolina

Profile Details

NPI number 1821210121
LBN Legal business name Charleston Adults And Geriatrics
DBA Doing business as Charleston Adults And Griatrics
Authorized official Mayno-Hardy, Sara Elizabeth
Entity Organization
Organization subpart 1 Yes
Enumeration date May 3rd, 2007
Last updated Sep 9th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821210121 NPPES
South Carolina MEDICAID GP6738
South Carolina MEDICAID GP4032
South Carolina Other P00175892

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