Provider Demographics
NPI:1588622690
Name:FRANKEL, LOREN BETH (MD)
Entity Type:Individual
Prefix:DR
First Name:LOREN
Middle Name:BETH
Last Name:FRANKEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 HOSPITAL DR
Mailing Address - Street 2:SUITE 380
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3261
Mailing Address - Country:US
Mailing Address - Phone:843-884-2206
Mailing Address - Fax:843-881-0255
Practice Address - Street 1:1300 HOSPITAL DR
Practice Address - Street 2:SUITE 380
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3261
Practice Address - Country:US
Practice Address - Phone:843-884-2206
Practice Address - Fax:843-881-0255
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC28456207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC284560Medicaid
SCG85996Medicare UPIN
SC284560Medicaid