Healthcare Provider Details

I. General information

NPI: 1346705522
Provider Name (Legal Business Name): NASONCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2019
Last Update Date: 02/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2233 NORTHWOODS BLVD
NORTH CHARLESTON SC
29406-4007
US

IV. Provider business mailing address

18 OYSTER ROW
ISLE OF PALMS SC
29451-2724
US

V. Phone/Fax

Practice location:
  • Phone: 843-425-6496
  • Fax:
Mailing address:
  • Phone: 843-425-6496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BARRON SCOTT NASON
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 843-425-6496