Organization · Type 2 NPI

Charleston Addiction Medicine, LLC

Addiction Medicine (Psychiatry & Neurology) Physician · North Charleston, SC

NPI number 1982037529 Active

Practice location

2175 Ashley Phosphate Rd, Suite G
North Charleston, SC 29406-4181

Fax (843) 225-8410

Mailing address

4255 Faber Place Dr, Unit 403
North Charleston, SC 29405-8574

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401X18976 (SC)

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

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About NPI 1982037529

Charleston Addiction Medicine, LLC's National Provider Identifier is 1982037529, issued on Aug 19, 2013. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in North Charleston, SC. The record was last updated on Aug 19, 2013.