NPI 1053564963

University Medical Associates

Organisation Pediatric Surgery Physician Charleston, SC

Practice location

Address: 171 Ashley Ave, Charleston, SC 29425-8908
Phone: (843) 792-1414
Mailing address: PO Box 751461, Charlotte, NC 28275-1461

Authorised official

Name: Karyn Rae
Title: Director
Phone: (843) 876-1344

Registered specialties

Pediatric Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0120X

Other Surgery providers in South Carolina →

Registry record

NPI: 1053564963
Entity type: Organization
NPI issued: 23 Oct 2008
Record last updated: 23 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.