Provider First Line Business Practice Location Address:
TRIDENT MEDICAL CENTER
Provider Second Line Business Practice Location Address:
9225 UNIVERSITY BLVD., STE. E2A
Provider Business Practice Location Address City Name:
NORTH CHARLESTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29406
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
842-998-1222
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/20/2024