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NPI Code Detail

MEDICARE: NASON MEDICAL CENTER IV, LLC

MEDICARE: NASON MEDICAL CENTER IV, LLC
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
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1689972739
Entity Type Code : Organization
Provider Name (Legal Business Name) : NASON MEDICAL CENTER IV, LLC
Provider Business Mailing Address
First Line : PO BOX 51629
Second Line :
City : SUMMERVILLE
State : SC
Zip : 29485-1629
Country : US
Telephone Number : 843-300-3500
Fax Number : 843-552-4121
Provider Business Practice Location Address
First Line : 319 FOLLY RD
Second Line :
City : CHARLESTON
State : SC
Zip : 29412-2518
Country : US
Telephone Number : 843-300-3500
Fax Number : 843-552-4121
Authorized Official
Title or Position : CEO/PRESIDENT
Name : BARRON S NASON
Credential : MD
Telephone Number : 843-552-4240
Provider Enumeration Date : 03/14/2011
Last Update Date : 11/08/2012

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Directions to “NASON MEDICAL CENTER IV, LLC ” Practice Location

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