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Charleston Geriatrics and Post - Acute Care LLC

Organization Active NPI Geriatric Medicine (Family Medicine) Physician · Mount Pleasant, SC

NPI 1487031001 · NPPES record last updated May 4, 2015

Key facts

NPI
1487031001
Entity type
Organization (NPI type 2)
Primary specialty
Geriatric Medicine (Family Medicine) Physician 207QG0300X
License
29749 (SC)
Legal business name
CHARLESTON GERIATRICS AND POST - ACUTE CARE LLC
Practice address
930 Tall Pine Rd
Mount Pleasant, SC 29464-2910
Phone
(843) 209-1454
NPI assigned
May 4, 2015
Organization subpart
No

Authorized official

Name
John E Kleckley, MD
Title
Owner
Phone
(843) 209-1454

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

2290 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 410-3770

175 Market St
Charleston, SC 29401
Phone (843) 723-5553

514 Robert Daniel Dr
Daniel Island, SC 29492
Phone (843) 800-0225

1025 Hungryneck Blvd
Mount Pleasant, SC 29464
Phone (509) 590-0147

3100 Tradition Cir
Mt Pleasant, SC 29466
Phone (843) 654-7945

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207QG0300X 29749 SC Yes

Addresses

Primary practice location

930 Tall Pine Rd
Mount Pleasant, SC 29464-2910

Mailing address

930 Tall Pine Rd
Mount Pleasant, SC 29464-2910

Other providers in Mount Pleasant, SC

All providers in Mount Pleasant, SC · Geriatric Medicine (Family Medicine) Physician in South Carolina

Sources for this page

Verify at the official NPI Registry.