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NPI Code Detail

MEDICARE: DR. CHARLES T TWEEL M.D.

MEDICARE:  DR. CHARLES T TWEEL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician81997SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003993528
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES T TWEEL M.D.
Provider Business Mailing Address
First Line : 51 NASSAU ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29403-5513
Country : US
Telephone Number : 843-722-4112
Fax Number :
Provider Business Practice Location Address
First Line : 51 NASSAU ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29403-5513
Country : US
Telephone Number : 803-722-4112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 03/14/2019

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Directions to “ DR. CHARLES T TWEEL M.D.” Practice Location

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