Provider Information for 1013098987
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Dr. ANDREW STEVEN EISEMAN M.D.
Sex: Male
NPI: 1013098987
Last Updated: 2016-03-31
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1013098987 | ||||||||||||||||
| Enumeration Date | 2006-10-18 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | PO BOX 751461 CHARLOTTE, NC 28275-1461 United States Phone: 843-792-6200 | Fax: | ||||||||||||||||
| Primary Practice Address | 171 ASHLEY AVE CHARLESTON, SC 29425-8908 United States Phone: 843-792-1414 | Fax: | ||||||||||||||||
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