Healthcare Provider Details

I. General information

NPI: 1114181708
Provider Name (Legal Business Name): ELECTRONIC HEALTH NETWORK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2008
Last Update Date: 02/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3527 MARY ADER AVE SUITE 201
CHARLESTON SC
29414-5862
US

IV. Provider business mailing address

3527 MARY ADER AVE SUITE 201
CHARLESTON SC
29414-5862
US

V. Phone/Fax

Practice location:
  • Phone: 843-735-5044
  • Fax: 800-861-1491
Mailing address:
  • Phone: 843-735-5044
  • Fax: 800-861-1491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1744R1103X
TaxonomyResearch Study Abstracter/Coder
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code246Y00000X
TaxonomyHealth Information Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: MR. CHARLES WILLIAMS JR.
Title or Position: PRESIDENT/CEO
Credential:
Phone: 843-735-5044