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Contact Information

HILTON HEAD SPORTS MEDICINE
22 BETHEA DR
HILTON HEAD ISLAND, SC29926-4702
 Phone: 843-689-9720
 Fax: 843-689-9704
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for HILTON HEAD SPORTS MEDICINE · (Female)

NPI Number 1821089434
Status Active
Credentials
Entity Individual
Enumeration date 11/02/2005
Last updated 04/20/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 16696
  • SC Medicaid GP2936
  • SC Other 6953 MEDICARE GROUP NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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