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NPI Code Detail

MEDICARE: CHARLES A WEINHEIMER M.D

MEDICARE: CHARLES A WEINHEIMER M.D
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
1207L00000XAnesthesiology Physician16382SC

General Provider Information

NPI Number : 1871538595
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES A WEINHEIMER M.D
Provider Business Mailing Address
First Line : 332 N CIVITAS ST
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-2796
Country : US
Telephone Number : 843-324-7159
Fax Number :
Provider Business Practice Location Address
First Line : 2000 HOSPITAL DR
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-3764
Country : US
Telephone Number : 843-416-6295
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2006
Last Update Date : 09/05/2013

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