Durham, Charlene F.

Durham, Charlene F. is an individual health care provider with primary practice located at 9225 University Blvd Ste D, North Charleston SC 29406-9149. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Durham, Charlene F. can be contacted via phone (843) 569-4546.

Contact Information

Primary practice address
9225 University Blvd Ste D North Charleston SC 29406-9149
Phone: (843) 569-4546
Fax: (843) 569-4535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 4465 South Carolina

Profile Details

NPI number 1861437089
LBN Legal business name Durham, Charlene F.
Credentials MSR, PT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861437089 NPPES
South Carolina MEDICAID TH1260

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