Provider Demographics
NPI:1073592937
Name:INFECTIOUS DISEASES CONSULTANTS & TRAVEL MEDICINE
Entity Type:Organization
Organization Name:INFECTIOUS DISEASES CONSULTANTS & TRAVEL MEDICINE
Other - Org Name:TRAVEL MEDICINE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMI
Authorized Official - Middle Name:J
Authorized Official - Last Name:BARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:843-763-6336
Mailing Address - Street 1:1565 SAM RITTENBERG BLVD
Mailing Address - Street 2:STE 200
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-4138
Mailing Address - Country:US
Mailing Address - Phone:843-763-6336
Mailing Address - Fax:843-571-6194
Practice Address - Street 1:1565 SAM RITTENBERG BLVD
Practice Address - Street 2:STE 200
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-4138
Practice Address - Country:US
Practice Address - Phone:843-763-6336
Practice Address - Fax:843-571-6194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-10
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty