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NPI Code Detail

MEDICARE: CHARLES PINSON JR.

MEDICARE: CHARLES PINSON JR.
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
1376K00000XNurse's Aide251E00000XSC
2376K00000XNurse's Aide251G00000XSC

General Provider Information

NPI Number : 1639568975
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES PINSON JR.
Provider Business Mailing Address
First Line : 3505 PELHAM RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-4114
Country : US
Telephone Number : 864-213-4071
Fax Number : 864-213-4404
Provider Business Practice Location Address
First Line : 3505 PELHAM RD STE D
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-4154
Country : US
Telephone Number : 864-213-4071
Fax Number : 864-213-4404
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2015
Last Update Date : 01/09/2015

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