MEDICARE: DR. ROBERT A PRINGLE JR. M.D. FACC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0011X	Interventional Cardiology Physician	MD12030	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124011424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT A PRINGLE JR. M.D. FACC

Provider Business Mailing Address
First Line	:	4969 CENTRE POINTE DR
Second Line	:	SUITE 100
City	:	N CHARLESTON
State	:	SC
Zip	:	29418-6952
Country	:	US
Telephone Number	:	843-853-0250
Fax Number	:	843-853-0210

Provider Business Practice Location Address
First Line	:	4969 CENTRE POINTE DR
Second Line	:	SUITE 100
City	:	N CHARLESTON
State	:	SC
Zip	:	29418-6952
Country	:	US
Telephone Number	:	843-853-0250
Fax Number	:	843-853-0210

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	01/28/2022

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Directions to “ DR. ROBERT A PRINGLE JR. M.D. FACC” Practice Location

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