Doctor Name: | MR. CHARLES CHRISTOPHER RUNYON |
NPI Number: | 1083869085 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT, MS |
License Number: | 4491 |
Business Practice Address: | 2060 Bells Hwy Walterboro, SC - 294886815 |
Business Phone Number: | 8435382055 |
Business Fax Number: | 8435382058 |
Mailing Address: | 2060 Bells Hwy, WALTERBORO |
State: | SC |
Postal Code: | 294886815 |
Phone Number: | 8435382055 |
Fax Number: | 8435382058 |
NPI Enumeration Date: | 11/18/2008 |
NPI Last Update Date: | 11/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 4491 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |