Shissias, Charles G.

Shissias, Charles G. is an sole proprietor health care provider with primary practice located at 300 Midtown Dr , Beaufort SC 29906-5200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Shissias, Charles G. can be contacted via phone (843) 770-0404.

Contact Information

Primary practice address
300 Midtown Dr Beaufort SC 29906-5200
Phone: (843) 770-0404
Fax: (803) 522-3515
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 21645 South Carolina
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD11448R Louisiana

Profile Details

NPI number 1124039334
LBN Legal business name Shissias, Charles G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2006
Last updated Feb 15th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124039334 NPPES
South Carolina MEDICAID 216457

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