# HOPE CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HOPE CLINIC LLC
- **Other names:** Hope Clinic - North Charleston
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205017860
- **Legal business name:** HOPE CLINIC LLC
- **Authorized official:** DR. TEMISAN L ETIKERENTSE M.D (MEDICAL DOCTOR, CEO)
- **Authorized official phone:** (843) 725-4673

## Contact information

- **Practice address:** 5880 RIVERS AVE, NORTH CHARLESTON, SC 29406
- **Practice address phone:** (843) 725-4673
- **Practice address fax:** (843) 725-1235
- **Mailing address:** 5880 RIVERS AVE, NORTH CHARLESTON, SC 29406-6053
- **Mailing address phone:** (843) 725-4673
- **Mailing address fax:** (843) 725-1235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 20234 | SC | Yes |

## Other

- **Enumeration date:** 11/23/2007
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 20067813-001 | FIRST CHOICE | SC |
| 01 | — | 20234 | STATE LICENSE | SC |
| 01 | — | 75767 | SC PCF | SC |
| 05 | — | GP4815 | — | SC |
| 01 | — | JB021584 | JUA | SC |