OrganizationActive
Erica Dejesus
NPI 1326876517 · Primary Care Clinic/Center · Charleston, SC
Provider details
- NPI number
- 1326876517
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Erica Dejesus, Intern(843) 852-4100
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2100 Charlie Hall Blvd
Charleston, SC 29414-5832
Phone: (843) 852-4100
Approximate (ZIP-level) locationGet directions
Mailing address
2100 Charlie Hall Blvd
Charleston, SC 29414-5832
Registry dates
- Enumerated
- 2024-07-22
- Last updated
- 2024-08-06
- Certified
- 2024-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.