MEDICARE: EDWARD J GIOVE DO

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
1	207Q00000X	Family Medicine Physician	0644	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	H10180A634	OTHER	SC	MEDICARE PTAN
3	080173979	OTHER	SC	MEDICARE RAIL ROAD
5	H10180634	OTHER	SC	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SC2315A634	OTHER	SC	MEDICAR PIN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487610119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD J GIOVE DO

Provider Business Mailing Address
First Line	:	PO BOX 13955
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29422-3955
Country	:	US
Telephone Number	:	843-225-8320
Fax Number	:	843-225-3549

Provider Business Practice Location Address
First Line	:	297 SEVEN FARMS DR STE 202
Second Line	:
City	:	DANIEL ISLAND
State	:	SC
Zip	:	29492-7553
Country	:	US
Telephone Number	:	843-936-4470
Fax Number	:	843-256-6877

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2006
Last Update Date	:	12/30/2019

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Directions to “ EDWARD J GIOVE DO” Practice Location

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