SearchSouth Carolina225X00000X

Charles Beacom

NPI 1467938225 · on the registry since 2018 · sole proprietor

Practice

Address
1563 Sam Rittenberg Blvd
Charleston, SC 29407
Phone
(843) 277-2411
Fax
(855) 504-4089
Organisation at this address
Charleston Ot Llc
Charleston St Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Additional practice sites

  • 13950 Brandywine Rd, Brandywine, MD

Registry record

Primary taxonomy
225X00000X
225X00000X
Also registered as
225X00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina