Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 4606 | SC |
Y | 213EG0000X | General Practice | 4606 | SC |
NPI | 1003043597 |
---|---|
Provider Name | Dr. Christopher Poston Rivers |
First Address | North Charleston, SC 29406-9268 |
Second Address | North Charleston, SC 29406-9268 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2009 |
Last Update Date | 05/08/2009 |