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NPI Code Detail

MEDICARE: CHARLESTON ENT ASSOCIATES, LLC

MEDICARE: CHARLESTON ENT ASSOCIATES, LLC
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
1207Y00000XOtolaryngology Physician

Other Identifiers

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

General Provider Information

NPI Number : 1588607303
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHARLESTON ENT ASSOCIATES, LLC
Provider Business Mailing Address
First Line : 2295 HENRY TECKLENBURG DR
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-7801
Country : US
Telephone Number : 843-766-6103
Fax Number : 843-576-2592
Provider Business Practice Location Address
First Line : 2295 HENRY TECKLENBURG DR
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-7801
Country : US
Telephone Number : 843-766-6103
Fax Number : 843-576-2592
Authorized Official
Title or Position : CEO
Name : EUGENE G BROWN
Credential : MD
Telephone Number : 843-763-5342
Provider Enumeration Date : 06/13/2006
Last Update Date : 12/08/2025

Similar Medicare Providers

1558367433 — DR. ROBERT CHARLES JORDAN M.D., F.A.A.O.A.
Practice Location Address:
2295 HENRY TECKLENBURG DR
CHARLESTON, SC
29414-7801
Practice Phone: 843-766-7103
Practice Fax: 843-873-8732
1245238930 — DR. EUGENE G BROWN M.D.
Practice Location Address:
2295 HENRY TECKLENBURG DR
CHARLESTON, SC
29414-7801
Practice Phone: 843-766-7103
Practice Fax:
1063479582 — LAURA H. STONE CCC-A
Practice Location Address:
2295 HENRY TECKLENBURG DR
CHARLESTON, SC
29414-7801
Practice Phone: 843-766-7103
Practice Fax: 843-576-2592
1376500504 — MICHAEL CURRAN NOONE
Practice Location Address:
2295 HENRY TECKLENBURG DR
CHARLESTON, SC
29414-7801
Practice Phone: 843-766-7103
Practice Fax: 843-763-3834
1720030836 — ETTALEAH BLUESTEIN M.D.
Practice Location Address:
2287 HENRY TECKLENBURG DR , SUITE 1
CHARLESTON, SC
29414-7801
Practice Phone: 843-769-6655
Practice Fax: 843-769-6866
1144275827 — MR. THOMAS ROBERT MURPHY MD
Practice Location Address:
2295 HENRY TECKLENBURG DR
CHARLESTON, SC
29414-7801
Practice Phone: 843-766-7103
Practice Fax: 843-763-3834

Directions to “CHARLESTON ENT ASSOCIATES, LLC ” Practice Location

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