Provider Demographics
NPI:1861667198
Name:ABRAMS, CHARLES RANDALL (RRT)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:RANDALL
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6439 GARNESS FERRY RD.
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:28020
Mailing Address - Country:US
Mailing Address - Phone:803-776-4000
Mailing Address - Fax:803-647-5707
Practice Address - Street 1:6439 GARNESS FERRY RD.
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:28020
Practice Address - Country:US
Practice Address - Phone:803-776-4000
Practice Address - Fax:803-647-5707
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC35182279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care