Provider Demographics
NPI:1205066933
Name:PASTIS, NICHOLAS JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:JAMES
Last Name:PASTIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:191 RUTLEDGE AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29403-5822
Mailing Address - Country:US
Mailing Address - Phone:843-723-1614
Mailing Address - Fax:843-727-2980
Practice Address - Street 1:191 RUTLEDGE AVE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29403-5822
Practice Address - Country:US
Practice Address - Phone:843-723-1614
Practice Address - Fax:843-727-2980
Is Sole Proprietor?:No
Enumeration Date:2009-07-15
Last Update Date:2009-07-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC31315207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease