Healthcare Provider Details
I. General information
NPI: 1972747293
Provider Name (Legal Business Name): KATHERINE CULP SILVER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/30/2009
Last Update Date: 02/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
171 ASHLEY AVE
CHARLESTON SC
29425-1900
US
IV. Provider business mailing address
PO BOX 751461
CHARLOTTE NC
28275-1461
US
V. Phone/Fax
- Phone: 843-792-1414
- Fax:
- Phone: 843-792-6200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080P0216X |
| Taxonomy | Pediatric Rheumatology Physician |
| License Number | 36071 |
| License Number State | SC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | 36071 |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: