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NPI Code Detail

MEDICARE: CHARLES STEWART ROBERTS MD

MEDICARE:   CHARLES STEWART ROBERTS  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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician15095SC

General Provider Information

NPI Number : 1659307718
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES STEWART ROBERTS MD
Provider Business Mailing Address
First Line : 9313 MEDICAL PLAZA DR
Second Line : SUITE 304
City : NORTH CHARLESTON
State : SC
Zip : 29406-9155
Country : US
Telephone Number : 843-553-5616
Fax Number : 843-764-2917
Provider Business Practice Location Address
First Line : 9313 MEDICAL PLAZA DR
Second Line : SUITE 304
City : NORTH CHARLESTON
State : SC
Zip : 29406-9155
Country : US
Telephone Number : 843-553-5616
Fax Number : 843-764-2917
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 11/25/2013

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Directions to “ CHARLES STEWART ROBERTS MD” Practice Location

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