Organization · NPI-2

Anesthesia Associates Of Charleston, P.A.

Anesthesiology · Charleston, SC

NPI number1396776670

StatusActive

Last updated in NPPESOct 25, 2024

Details

NPI: 1396776670
Entity type: Organization (NPI-2)
Legal business name: Anesthesia Associates Of Charleston, P.A.
Organization subpart: No
Enumeration date: Jul 5, 2006
Certification date: Oct 22, 2024
Last updated: Oct 25, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207L00000X	Anesthesiology	–	–	Yes
207LP2900X	Anesthesiology, Pain Medicine	–	–

Practice location

1064 Gardner Road
Ste 112
Charleston, SC 29407-5768

Phone 843-723-3441 · Fax 843-805-4040

Mailing address

125 Doughty St Ste 420
Charleston, SC 29403-5741

Phone 843-723-3441 · Fax 843-805-4040

Authorized official

Pam Perry
Office Administrator
8437233441

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