NPI 1457896375

Robert Converse, CAA

Practitioner Anesthesiologist Assistant Charleston, SC

Practice location

Address: 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733
Phone: (843) 402-1436
Fax: (843) 402-1833
Mailing address: PO Box 603484, Charlotte, NC 28260-3484

Registered specialties (2)

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 75 (SC)

Other Anesthesiologist Assistant providers in South Carolina →

Anesthesiologist Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence ANT.0000072 (CO)

Registry record

NPI: 1457896375
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jan 2017
Record last updated: 10 May 2024

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.