Healthcare Provider Details

I. General information

NPI: 1457402182
Provider Name (Legal Business Name): CAROLINA KIDNEY & HYPERTENSION CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 PHYSICIANS DRIVE
CHARLESTON SC
29414-5746
US

IV. Provider business mailing address

PO BOX 1022
MOUNT PLEASANT SC
29465-1022
US

V. Phone/Fax

Practice location:
  • Phone: 843-573-0499
  • Fax: 843-573-2463
Mailing address:
  • Phone: 843-573-0499
  • Fax: 843-573-2463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. OSEMWEGIE EMOVON
Title or Position: CEO
Credential: MD
Phone: 843-696-8351