Healthcare Provider Details

I. General information

NPI: 1578944476
Provider Name (Legal Business Name): ANN MARIA PASSINI D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2015
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 CALHOUN ST
CHARLESTON SC
29401-1113
US

IV. Provider business mailing address

PO BOX 603964
CHARLOTTE NC
28260-3964
US

V. Phone/Fax

Practice location:
  • Phone: 843-724-2289
  • Fax: 843-606-8038
Mailing address:
  • Phone: 843-789-1726
  • Fax: 843-402-5289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number93899
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: