Healthcare Provider Details

I. General information

NPI: 1225062433
Provider Name (Legal Business Name): EDWARD IRA GALAID M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5070 INTERNATIONAL BLVD SUITE 131
N CHARLESTON SC
29418-6006
US

IV. Provider business mailing address

PO BOX 751649
CHARLOTTE NC
28275-1649
US

V. Phone/Fax

Practice location:
  • Phone: 843-763-7906
  • Fax: 843-740-9039
Mailing address:
  • Phone: 888-472-0043
  • Fax: 843-724-2440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number37320
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number37320
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: