NPI 1184828808 · live from the CMS NPI Registry
Charleston Bone & Joint PA
Podiatrist in Mt Pleasant, SC. National Provider Identifier 1184828808, active.
NPI record
| NPI | 1184828808 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 767 Johnnie Dodds Blvd, Mt Pleasant, SC 29464 |
| Practice phone | 843-853-3474 |
| Mailing address | 255 E Bay St, Charleston, SC 29401 |
| Enumerated | June 14, 2007 |
| Last updated | September 11, 2025 |
| Authorized official | Dianne Thesing, Practice Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Orthopaedic Trauma | 207XX0801X | — |
| Podiatrist primary | 213E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.