NPI 1790989416 · live from the CMS NPI Registry
Charleston Bone & Joint PA
Podiatrist in Moncks Corner, SC. National Provider Identifier 1790989416, active.
NPI record
| NPI | 1790989416 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 2061 Highway 52, Moncks Corner, SC 29461 |
| Practice phone | 843-853-3474 |
| Mailing address | 255 E Bay St, Charleston, SC 29401 |
| Enumerated | June 14, 2007 |
| Last updated | January 9, 2008 |
| Authorized official | Anne Smith Conte, 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.