Provider Demographics
NPI:1669568952
Name:CHARLESTON PHYSICIANS FOR WOMEN PLLC
Entity type:Organization
Organization Name:CHARLESTON PHYSICIANS FOR WOMEN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING CONSULTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:D
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:843-740-6700
Mailing Address - Street 1:4480 LEEDS PL W
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-8402
Mailing Address - Country:US
Mailing Address - Phone:843-740-6700
Mailing Address - Fax:843-745-9428
Practice Address - Street 1:4480 LEEDS PL W
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-8402
Practice Address - Country:US
Practice Address - Phone:843-740-6700
Practice Address - Fax:843-745-9428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty