Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark Lewis Chargualaf, PA-C

Individual provider Physician Assistant · NPI 1275225492

Mark Lewis Chargualaf, PA-C is a Physician Assistant in Charleston, South Carolina. Qualified in 2022, 4 years ago. Practices with Coastal Vascular and Vein Center PA, an 11-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
4
Licensed in
SC
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1327 Ashley River Rd
Charleston, SC 29407-5384
Phone: (843) 405-9474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4632 (SC)

Record details

NPI number1275225492
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 25, 2023
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Coastal Vascular And Vein Center Pa — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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