Edsall, Charles Kenneth

Edsall, Charles Kenneth is an individual health care provider with primary practice located at 100 Healthy Way Ste 1200 , Anderson SC 29621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Edsall, Charles Kenneth can be contacted via phone (864) 512-6140.

Contact Information

Primary practice address
100 Healthy Way Ste 1200 Anderson SC 29621
Phone: (864) 512-6140
Fax: (864) 512-6149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29929 South Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 29929 South Carolina

Profile Details

NPI number 1841483344
LBN Legal business name Edsall, Charles Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2007
Last updated Nov 23rd, 2022 - about 4 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 1841483344 NPPES
South Carolina Other 1841483344 NPI
South Carolina MEDICAID 299297 NPI

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