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NPI Code Detail

MEDICARE: CAROLINA KIDNEY & HYPERTENSION CENTER, LLC

MEDICARE: CAROLINA KIDNEY & HYPERTENSION CENTER, LLC
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
1207RN0300XNephrology Physician

General Provider Information

NPI Number : 1457402182
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAROLINA KIDNEY & HYPERTENSION CENTER, LLC
Provider Business Mailing Address
First Line : PO BOX 1022
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29465-1022
Country : US
Telephone Number : 843-573-0499
Fax Number : 843-573-2463
Provider Business Practice Location Address
First Line : 1007 PHYSICIANS DRIVE
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-5746
Country : US
Telephone Number : 843-573-0499
Fax Number : 843-573-2463
Authorized Official
Title or Position : CEO
Name : DR. OSEMWEGIE EMOVON
Credential : MD
Telephone Number : 843-696-8351
Provider Enumeration Date : 01/16/2007
Last Update Date : 10/13/2025

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Directions to “CAROLINA KIDNEY & HYPERTENSION CENTER, LLC ” Practice Location

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