Provider Demographics
NPI:1376783969
Name:WERNER ROYAL & CSAKANY LLC
Entity Type:Organization
Organization Name:WERNER ROYAL & CSAKANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:L
Authorized Official - Last Name:WERNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-524-5455
Mailing Address - Street 1:1264 RIBAUT RD
Mailing Address - Street 2:BLDG 200
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-6123
Mailing Address - Country:US
Mailing Address - Phone:843-524-5455
Mailing Address - Fax:843-524-5655
Practice Address - Street 1:1264 RIBAUT RD
Practice Address - Street 2:BLDG 200
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-6123
Practice Address - Country:US
Practice Address - Phone:843-524-5455
Practice Address - Fax:843-524-5655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC15977207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty