NPI 1063680197

Carolina Gastroenterology & Nutrition Clinics, LLC

Organisation Specialist Charleston, SC

Practice location

Address: 102 Wappoo Creek Dr STE 10c, Charleston, SC 29412
Phone: (843) 762-9321
Fax: (843) 377-1580
Mailing address: 102 Wappoo Creek Dr STE 10c, Charleston, SC 29412-2144

Authorised official

Name: Charles Allen Bickerstaff
Title: Physician
Phone: (843) 762-9321

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 8659 (SC)

Other Specialist providers in South Carolina →

Registry record

NPI: 1063680197
Entity type: Organization
NPI issued: 12 Feb 2008
Record last updated: 21 Aug 2018

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.