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NPI Code Detail

MEDICARE: MEDICAL UNIVERSITY OF SOUTH CAROLINA

MEDICARE: MEDICAL UNIVERSITY OF SOUTH CAROLINA
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
1207ZC0500XCytopathology Physician
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician

General Provider Information

NPI Number : 1578494696
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL UNIVERSITY OF SOUTH CAROLINA
Provider Business Mailing Address
First Line : 171 ASHLEY AVE
Second Line :
City : CHARLESTON
State : SC
Zip : 29425-0100
Country : US
Telephone Number : 843-792-1414
Fax Number :
Provider Business Practice Location Address
First Line : 171 ASHLEY AVE
Second Line :
City : CHARLESTON
State : SC
Zip : 29425-0100
Country : US
Telephone Number : 843-792-1414
Fax Number :
Authorized Official
Title or Position : PROFESSOR AND CHAIR OF PATHOLOGY
Name : DR. AZIZA NASSAR
Credential : MD, MPH, MBA
Telephone Number : 507-398-4454
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “MEDICAL UNIVERSITY OF SOUTH CAROLINA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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