Chargualaf, Mark Lewis

Chargualaf, Mark Lewis is an individual health care provider with primary practice located at 1327 Ashley River Rd , Charleston SC 29407-5384. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Chargualaf, Mark Lewis can be contacted via phone (843) 405-9474.

Contact Information

Primary practice address
1327 Ashley River Rd Charleston SC 29407-5384
Phone: (843) 405-9474
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4632 South Carolina

Profile Details

NPI number 1275225492
LBN Legal business name Chargualaf, Mark Lewis
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2023
Last updated May 25th, 2023 - about 3 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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