Healthcare Provider Details

I. General information

NPI: 1932159811
Provider Name (Legal Business Name): PERRY E TROUCHE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 05/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9229 UNIVERSITY BLVD STE 2-B
NORTH CHARLESTON SC
29406-9150
US

IV. Provider business mailing address

9229 UNIVERSITY BLVD STE 2-B
NORTH CHARLESTON SC
29406-9150
US

V. Phone/Fax

Practice location:
  • Phone: 843-572-9800
  • Fax: 843-572-9893
Mailing address:
  • Phone: 843-572-9800
  • Fax: 843-572-9893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number9614
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: