Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Centerwell Senior Primary Care (SC) PC

Organization Family Medicine Physician · NPI 1740833938

Centerwell Senior Primary Care (SC) PC is a Family Medicine Physician in Charleston, South Carolina. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1401 Sam Rittenberg Blvd Ste 6
Charleston, SC 29407-5031
Phone: (843) 973-5393
Fax: (833) 994-1098
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1740833938
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCenterwell Senior Primary Care (SC) PC
Authorized official Angie Martinez — Senior Credentialing Professional · (407) 447-7120
Other names Centerwell Senior Primary Care-West Ashley; Part In Primary Care Sc Pc; Partners In Primary Care- West Ashley; Partners In Primary Care Nc Pc
NPI enumeratedJuly 17, 2019
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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