Healthcare Provider Details

I. General information

NPI: 1487855524
Provider Name (Legal Business Name): SAVINI ENTERPRISES, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 CARRIAGE LN SUITE 400A
CHARLESTON SC
29407-6065
US

IV. Provider business mailing address

1150 HUNGRYNECK BLVD BOX C 363
MOUNT PLEASANT SC
29464-3484
US

V. Phone/Fax

Practice location:
  • Phone: 843-534-6212
  • Fax:
Mailing address:
  • Phone: 843-534-6212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL D SAVINI
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 843-534-6212