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

Individual provider Physician Assistant · NPI 1740289511

Mrs. Renee L. Larsen, PA is a Physician Assistant in Charleston, South Carolina. Qualified in 2001, 25 years ago. Practices with Charleston Gastroenterology Specialists, a 49-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
25
Licensed in
SC
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1962 Charlie Hall Blvd
Charleston, SC 29414
Phone: (843) 722-8000
Fax: (843) 723-7850
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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 A817 (SC)

Record details

NPI number1740289511
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 14, 2005
Last updated in NPPESAugust 5, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Charleston Gastroenterology Specialists — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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