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Organization
CAROLINA KIDNEY AND HYPERTENSION SPECIALISTS, P.C.
Active
Organization
CAROLINA KIDNEY AND HYPERTENSION SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REYNALDO MATUTE M.D. (CEO)
(843) 357-3334
Entity
Organization
Contact information
Practice address
11945 GRANDHAVEN DR, SUITE G, MURRELLS INLET, SC 29576-8091
(843) 357-3334
(866) 418-7457
Mailing address
11945 GRANDHAVEN DR, SUITE G, MURRELLS INLET, SC 29576-8091
(843) 357-3334
(866) 418-7457
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27909
SC
207RN0300X
Nephrology Physician
Primary
27909
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279095
—
SC
Enumeration date
12/15/2006
Last updated
12/18/2014
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