Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 008285 | GA |
N | 111NI0900X | Internist | 008285 | GA |
Y | 207RI0200X | Infectious Disease | 81733 | SC |
NPI | 1033567888 |
---|---|
Provider Name | Dr. Charles Spencer Teixeira |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2016 |
Last Update Date | 13/01/2022 |