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NPI Code Detail

MEDICARE: EMILY MARIA ROUNTREE MD

MEDICARE:   EMILY MARIA ROUNTREE  MD
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
12084P0800XPsychiatry PhysicianLL28922SC

General Provider Information

NPI Number : 1477635605
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY MARIA ROUNTREE MD
Provider Business Mailing Address
First Line : 2100 CHARLIE HALL BLVD
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-5832
Country : US
Telephone Number : 843-852-4100
Fax Number :
Provider Business Practice Location Address
First Line : 2100 CHARLIE HALL BLVD
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-5832
Country : US
Telephone Number : 843-852-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 02/02/2026

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Directions to “ EMILY MARIA ROUNTREE MD” Practice Location

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