Healthcare Provider Details

I. General information

NPI: 1427069848
Provider Name (Legal Business Name): DISC RADIOLOGISTS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 03/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1341 OLD GEORGETOWN RD SUITE C
MOUNT PLEASANT SC
29464-7307
US

IV. Provider business mailing address

PO BOX 2352
COLUMBIA SC
29202
US

V. Phone/Fax

Practice location:
  • Phone: 843-884-2175
  • Fax: 843-884-9670
Mailing address:
  • Phone: 843-884-2175
  • Fax: 843-884-9670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: RICHARD C HOLGATE
Title or Position: OWNER
Credential: MD
Phone: 843-884-2175