Provider Demographics
NPI:1629693668
Name:ANESTHESIA ASSOCIATES OF CHARLESTON, P.A.
Entity Type:Organization
Organization Name:ANESTHESIA ASSOCIATES OF CHARLESTON, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GARMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-723-3441
Mailing Address - Street 1:125 DOUGHTY ST STE 420
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29403-5741
Mailing Address - Country:US
Mailing Address - Phone:843-723-3441
Mailing Address - Fax:843-805-4040
Practice Address - Street 1:1341 OLD GEORGETOWN RD
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-7307
Practice Address - Country:US
Practice Address - Phone:843-216-4844
Practice Address - Fax:843-408-4102
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANESTHESIA ASSOCIATES OF CHARLESTON, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site