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NPI Code Detail

MEDICARE: DR. CELESTIN CHICOS MD

MEDICARE: DR. CELESTIN CHICOS 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
1207R00000XInternal Medicine Physician99163GA
2207R00000XInternal Medicine PhysicianMMD.86690SC

General Provider Information

NPI Number : 1760989784
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CELESTIN CHICOS MD
Provider Business Mailing Address
First Line : 955 RIBAUT RD
Second Line :
City : BEAUFORT
State : SC
Zip : 29902-5454
Country : US
Telephone Number : 843-522-5200
Fax Number :
Provider Business Practice Location Address
First Line : 955 RIBAUT RD
Second Line :
City : BEAUFORT
State : SC
Zip : 29902-5454
Country : US
Telephone Number : 843-522-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2018
Last Update Date : 06/09/2025

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Directions to “ DR. CELESTIN CHICOS MD” Practice Location

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