Provider Demographics
NPI:1124011424
Name:PRINGLE, ROBERT A JR (MD FACC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:PRINGLE
Suffix:JR
Gender:M
Credentials:MD FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4969 CENTRE POINTE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:N CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29418-6952
Mailing Address - Country:US
Mailing Address - Phone:843-853-0250
Mailing Address - Fax:843-853-0210
Practice Address - Street 1:4969 CENTRE POINTE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:N CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29418-6952
Practice Address - Country:US
Practice Address - Phone:843-853-0250
Practice Address - Fax:843-853-0210
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMD12030207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP0624Medicaid
SCD05569Medicare UPIN
SCGP0624Medicaid