University Medical Associates

NPI #1023169984 in Charleston, South Carolina

Provider Information

NPI Number: 1023169984
Entity Type: Organization
Organization Name: University Medical Associates
Primary Specialty: Pediatrics
Enumeration Date: Jan 16, 2007
Last Updated: Apr 18, 2012

Practice Location

Address: 171 ASHLEY AVE
City: Charleston
State: South Carolina
ZIP Code: 29425-8908
Phone: (843) 792-1414

Authorized Official

Name: KARYN RAE
Title: DIRECTOR
Phone: (843) 876-1344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Pediatrics	208000000X	Primary

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