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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

NPI Number 1821089434
LBN Legal business name HILTON HEAD SPORTS MEDICINE
Authorized official BRIAN ANDERSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/02/2005
Last updated 04/20/2008 - About 18 years ago
Identifiers
SC License # 16696
SC Medicaid GP2936
SC Other 6953 MEDICARE GROUP NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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