Charleston Healthspan Institute

NPI #1609252402 in Daniel Island, South Carolina

Provider Information

NPI Number: 1609252402
Entity Type: Organization
Organization Name: Charleston Healthspan Institute
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Aug 4, 2015
Last Updated: Aug 4, 2015

Practice Location

Address: 900 ISLAND PARK DR
Address 2: SUITE 104
City: Daniel Island
State: South Carolina
ZIP Code: 29492
Phone: (843) 375-6588

Authorized Official

Name: SUSAN KADY WILSON, M.D.
Title: PRACTITIONER/OWNER
Phone: (843) 442-8915

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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