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NPI Code Detail

MEDICARE: CURANA HEALTH OF SOUTH CAROLINA PC

MEDICARE: CURANA HEALTH OF SOUTH CAROLINA PC
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1316477896
Entity Type Code : Organization
Provider Name (Legal Business Name) : CURANA HEALTH OF SOUTH CAROLINA PC
Provider Business Mailing Address
First Line : 5750 JOHNSTON ST STE 205
Second Line :
City : LAFAYETTE
State : LA
Zip : 70503-5334
Country : US
Telephone Number : 337-408-0797
Fax Number :
Provider Business Practice Location Address
First Line : 2375 BAKER HOSPITAL BLVD
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-8233
Country : US
Telephone Number : 337-408-0797
Fax Number :
Authorized Official
Title or Position : AO
Name : ANTONIO GAMBOA
Credential :
Telephone Number : 512-323-5465
Provider Enumeration Date : 06/15/2017
Last Update Date : 12/04/2025

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Directions to “CURANA HEALTH OF SOUTH CAROLINA PC ” Practice Location

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