Pendarvis, Allen E

Pendarvis, Allen E is an sole proprietor health care provider with primary practice located at 1064 Gardner Rd Ste 112 , Charleston SC 29407-5768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Pendarvis, Allen E can be contacted via phone (843) 723-3441.

Contact Information

Primary practice address
1064 Gardner Rd Ste 112 Charleston SC 29407-5768
Phone: (843) 723-3441
Fax: (843) 805-4040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 32696 South Carolina

Profile Details

NPI number 1265753248
LBN Legal business name Pendarvis, Allen E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2010
Last updated May 5th, 2024 - about 2 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 1265753248 NPPES
South Carolina MEDICAID 326962

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