Doctor Name: | DR. CHARLES ANDREW ANDRUS |
NPI Number: | 1447249008 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 5180 |
Business Practice Address: | 48 Wespanee Dr Charleston, SC - 294076056 |
Business Phone Number: | 8438600030 |
Business Fax Number: | 8438755917 |
Mailing Address: | 48 Wespanee Dr, CHARLESTON |
State: | SC |
Postal Code: | 294076056 |
Phone Number: | 8438600030 |
Fax Number: | 8438755917 |
NPI Enumeration Date: | 10/17/2005 |
NPI Last Update Date: | 02/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5180 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |