Benjamin Chapman Kalivas M.D.

NPI 1235423153 - Internal Medicine - 207R00000X

NPI Details
NPI 1235423153
Gender Male
Enumeration Date 06/08/2011
Last Updated 06/21/2016
Entity Type Individual
Active Over 5 years ago
Practice Location
171 ASHLEY AVE
RM 202 MAIN HOSPITAL MSC 333
CHARLESTON SC, 29425-8908, US
Phone (843) 792-1414
Fax
Business Location
PO BOX 751461
CHARLOTTE NC, 28275-1461, US
Phone (843) 792-6200
Fax
Toxanomy
Taxonomy Code 207R00000X
License State South Carolina
License Number LL33592
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According to our database, Benjamin Chapman Kalivas M.D. NPI is 1235423153, taxonomy code is 207R00000X and license number is LL33592, license state is located at South Carolina. Benjamin Chapman Kalivas M.D. physically located at 171 Ashley Ave, Charleston SC, 29425-8908. NPI Number Benjamin Chapman Kalivas M.D. has the Individual type.

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1235423153 NPI number is provided on an as is basis without warranty of any kind. 1235423153 is maintained by the National Plan & Provider Enumeration System. The contents of Benjamin Chapman Kalivas M.D. are for informational purposes only.