Consultorio Medico Latino
Consultorio Medico Latino is a Family Medicine Physician in North Charleston, South Carolina. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2810 Ashley Phosphate Rd Ste B4North Charleston, SC 29418-6406
Phone: (843) 553-7744
Fax: (843) 553-7734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1790319408 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephanie Jaquez — Sole Mbr · (843) 735-1887 |
| NPI enumerated | March 3, 2020 |
| Last updated in NPPES | July 6, 2021 |
| Certification date | July 6, 2021 |
| Mailing address | 2810 Ashley Phosphate Rd Ste B4, North Charleston, SC 29418-6406 |
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