Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.
Primary Practice Address
Last Updated 12/10/2022
628 Clinic
204 W. Hill Blvd
JB Charleston, SC 29404
Phone: 843-963-6683
Location Details
- Practitioner spends 100% of time at this location.
Years in Active Clinical Practice
Last Updated 12/10/2022
Years in Active Clinical Practice Inside US/Canada: 34
Medicaid
Last Updated 12/10/2022
Does Not Participate in the Virginia Medicaid program Is not accepting new Virginia Medicaid patients
Virginia
Hospital Affiliations
Last Updated 12/10/2022
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 12/10/2022
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