| Organization Name: | CHARLESTON NEUROSCIENCE INSTITUTE LLC |
| NPI Number: | 1033359294 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIC JABLON (PARTNER) |
| Mailing Address: | 590 Lone Tree Drive Ste 102 Mount Pleasant |
| State: | SC US |
| Postal Code: | 29464 |
| Phone Number: | 8432167144 |
| Fax Number: | 8432167145 |
| NPI Enumeration Date: | 03/02/2009 |
| NPI Last Update Date: | 03/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |