Provider Demographics
NPI:1487610119
Name:GIOVE, EDWARD J (DO)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:J
Last Name:GIOVE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13955
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29422-3955
Mailing Address - Country:US
Mailing Address - Phone:843-225-8320
Mailing Address - Fax:843-225-3549
Practice Address - Street 1:297 SEVEN FARMS DR STE 202
Practice Address - Street 2:
Practice Address - City:DANIEL ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29492-7553
Practice Address - Country:US
Practice Address - Phone:843-936-4470
Practice Address - Fax:843-256-6877
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0644207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSC2315A634OtherMEDICAR PIN
SCH10180A634OtherMEDICARE PTAN
SC080173979OtherMEDICARE RAIL ROAD
SC006442Medicaid
SCH10180634OtherMEDICARE PTAN
SCH101807126Medicare PIN
SCH101805277Medicare PIN