Healthcare Provider Details

I. General information

NPI: 1881509826
Provider Name (Legal Business Name): MS. CHARITY ANITA STEWART
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 ELMWOOD AVE
COLUMBIA SC
29201-2107
US

IV. Provider business mailing address

1303 ELMWOOD AVE
COLUMBIA SC
29201-2107
US

V. Phone/Fax

Practice location:
  • Phone: 803-467-4770
  • Fax: 803-764-0001
Mailing address:
  • Phone: 803-814-5406
  • Fax: 803-764-0001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: