Bickerstaff, Charles A

Bickerstaff, Charles A is an individual health care provider with primary practice located at 102 Wappoo Creek Dr Ste 10C , Charleston SC 29412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bickerstaff, Charles A can be contacted via phone (843) 762-9321.

Contact Information

Primary practice address
102 Wappoo Creek Dr Ste 10C Charleston SC 29412
Phone: (843) 762-9321
Fax: (843) 406-9777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 8659 South Carolina

Profile Details

NPI number 1972584712
LBN Legal business name Bickerstaff, Charles A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Aug 27th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972584712 NPPES
South Carolina MEDICAID GP3774

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