Pickens, Charles Andrew
Pickens, Charles Andrew is an individual health care provider with primary practice located at 100 E Wood St Ste. 401, Spartanburg SC 29303-3004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Pickens, Charles Andrew can be contacted via phone (864) 560-6851.Contact Information
Primary practice address
100 E Wood St Ste. 401
Spartanburg SC 29303-3004
Phone: (864) 560-6851
Fax: (864) 560-7312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 9187 | South Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9187 | South Carolina |
Profile Details
| NPI number | 1407827587 |
|---|---|
| LBN Legal business name | Pickens, Charles Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Mar 3rd, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407827587 | NPPES |
| South Carolina | MEDICAID | 091876 | |
| South Carolina | Other | 29311 | |
| South Carolina | MEDICAID | 890615B | |
| South Carolina | Other | 4275342 |
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