Organization · Type 2 NPI

Trident Medical Services D/b/a Trident Senior Health Center

Primary Care Clinic/Center · Charleston, SC

NPI number 1740394071 Active

Practice location

9302 Medical Plaza Dr, Suite C
Charleston, SC 29406-9142

Fax (843) 847-4477

Specialties and licenses

Taxonomy	Code	License
Geriatric Medicine (Family Medicine) Physician	207QG0300X	None listed
Primary Care Clinic/Center Primary	261QP2300X	None listed

Primary Care Clinic/Center: Definition to come...

4 other providers at this address

David Michael McCance, LLCGastroenterology Physician Charleston, SC NPI 1710113048
David Michael McCance, LLCGastroenterology Physician Charleston, SC NPI 1912125212
Alexis L. Schulte, RDRegistered Dietitian Charleston, SC NPI 1356773089
David Michael McCance, DOGastroenterology Physician Charleston, SC NPI 1275639361

Other primary care clinic/center providers in Charleston

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NPI record

NPI: 1740394071
Entity type: Organization (Type 2)
Issued: Aug 17, 2006
Last updated: Mar 24, 2008
Status: Active
Subpart: Yes of Trident Medical Center

Other names

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Trident Senior Health Center · doing business as

Authorized official

Ms. Kimberlie Denmark, RN
Director
(843) 797-0416

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1740394071

Trident Medical Services D/b/a Trident Senior Health Center's National Provider Identifier is 1740394071, issued on Aug 17, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Charleston, SC. The record was last updated on Mar 24, 2008.