CAROLINA GASTROENTEROLOGY & NUTRITION CLINICS, LLC
NPI 1063680197
Specialist in Charleston, SC

Q: What is Carolina Gastroenterology & Nutrition Clinics, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since February 12, 2008

102 WAPPOO CREEK DR STE 10C, CHARLESTON, SC 29412(843) 762-9321(843) 377-1580 Get Directions Write a Review

NPPES record last updated: August 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Carolina Gastroenterology & Nutrition Clinics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINA GASTROENTEROLOGY & NUTRITION CLINICS, LLC (NPI 1063680197) is a healthcare organization registered as a specialist in Charleston, South Carolina and active in the NPI registry since February 2008. The organization lists Charles Allen Bickerstaff, Physician, as its authorized official.

NPPES Registry Identity

NPI1063680197

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameCAROLINA GASTROENTEROLOGY & NUTRITION CLINICS, LLC

Location Address102 WAPPOO CREEK DR STE 10CCharleston, SC 29412

Mailing Address102 Wappoo Creek Dr Ste 10cCharleston, SC 29412-2144 · (843) 762-9321 · Fax (843) 377-1580

Phone(843) 762-9321

Fax(843) 377-1580

Organization SubpartNo

Authorized OfficialCharles Allen BickerstaffPhysician · (843) 762-9321

Enumeration DateFebruary 12, 2008

Last NPPES UpdateAugust 21, 2018

✔ NPI 1063680197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in SC · 8659

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

102 WAPPOO CREEK DR STE 10C, Charleston, SC 29412

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Other Identifiers 1

Medicaid086597SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARLES A BICKERSTAFF JR. MD

Internal Medicine (Gastroenterology)

102 WAPPOO CREEK DR STE 10C
CHARLESTON, SC 29412

Charleston County (843) 762-9321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolina Gastroenterology & Nutrition Clinics, LLC's NPI number?

The NPI number for Carolina Gastroenterology & Nutrition Clinics, LLC is 1063680197. It was assigned to this organization in the NPPES registry on February 12, 2008.

Where is Carolina Gastroenterology & Nutrition Clinics, LLC located?

Carolina Gastroenterology & Nutrition Clinics, LLC is located at 102 Wappoo Creek Dr Ste 10C, Charleston, SC 29412. The listed phone number is (843) 762-9321.

What is Carolina Gastroenterology & Nutrition Clinics, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Carolina Gastroenterology & Nutrition Clinics, LLC was last updated on August 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.