# BHS PHYSICIAN SERVICES OF SOUTH CAROLINA PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194264457
- **Authorized official:** MISS JONATHAN HOREY (PRESIDENT)
- **Authorized official phone:** (973) 330-9415

## Contact information

- **Practice address:** 2200 MAIN ST, HILTON HEAD ISLAND, SC 29926-1667
- **Practice address phone:** (973) 330-9415
- **Mailing address:** 160 CHUBB AVE, LYNDHURST, NJ 07071-3526
- **Mailing address phone:** (973) 330-9415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/20/2017
- **Last updated:** 02/20/2017