Healthcare Provider Details

I. General information

NPI: 1487610119
Provider Name (Legal Business Name): EDWARD J GIOVE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 12/30/2019
Certification Date: 12/30/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

297 SEVEN FARMS DR STE 202
DANIEL ISLAND SC
29492-7553
US

IV. Provider business mailing address

PO BOX 13955
CHARLESTON SC
29422-3955
US

V. Phone/Fax

Practice location:
  • Phone: 843-936-4470
  • Fax: 843-256-6877
Mailing address:
  • Phone: 843-225-8320
  • Fax: 843-225-3549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0644
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: