Provider Demographics
NPI:1851431084
Name:WHITFIELD, CHARLES L (AUD)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:L
Last Name:WHITFIELD
Suffix:
Gender:
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3495 IRON HORSE RD STE B
Mailing Address - Street 2:
Mailing Address - City:LADSON
Mailing Address - State:SC
Mailing Address - Zip Code:29456-4319
Mailing Address - Country:US
Mailing Address - Phone:843-871-9669
Mailing Address - Fax:843-871-8197
Practice Address - Street 1:3495 IRON HORSE RD STE B
Practice Address - Street 2:
Practice Address - City:LADSON
Practice Address - State:SC
Practice Address - Zip Code:29456-4319
Practice Address - Country:US
Practice Address - Phone:843-258-5060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA-191231H00000X
SC3903231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist