Provider Demographics
NPI:1922273614
Name:GILLESPIE, JOSEPH E (MAUD)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:E
Last Name:GILLESPIE
Suffix:
Gender:M
Credentials:MAUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SOUTH PARK CIRCLE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-4680
Mailing Address - Country:US
Mailing Address - Phone:843-789-1815
Mailing Address - Fax:843-724-2653
Practice Address - Street 1:125 DOUGHTY ST
Practice Address - Street 2:SUITE 280
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29403-5736
Practice Address - Country:US
Practice Address - Phone:843-958-8877
Practice Address - Fax:843-958-8878
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1519237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP00934280OtherRAILROAD MC ID-RSFPN
SCP00934280OtherRAILROAD MC ID-RSFPN