Healthcare Provider Details

I. General information

NPI: 1770517658
Provider Name (Legal Business Name): NHC CHARLESTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 NNPTC CIRCLE UBO/TPC
GOOSE CREEK SC
29445
US

IV. Provider business mailing address

110 NNPTC CIRCLE
GOOSE CREEK SC
29445
US

V. Phone/Fax

Practice location:
  • Phone: 843-794-6088
  • Fax: 843-794-6042
Mailing address:
  • Phone: 843-794-6088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1100X
TaxonomyMilitary/U.S. Coast Guard Outpatient Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DIANE VALENTINE
Title or Position: UBO MANAGER
Credential:
Phone: 843-794-6071