Henry Othersen JR., MD
NPI #1073628913 in Charleston, South Carolina
Provider Information
- NPI Number
- 1073628913
- Entity Type
- Individual
- Name
- Henry Othersen JR., MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Surgery - Pediatric Surgery
- Credential
- MD
- Enumeration Date
- Aug 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 171 ASHLEY AVE
- City
- Charleston
- State
- South Carolina
- ZIP Code
- 29425-0001
- Phone
- (843) 792-1414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Pediatric Surgery — Pediatric Surgery |
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