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Organization
SEA ISLAND MEDICAL PRACTICE
Active
Organization
SEA ISLAND MEDICAL PRACTICE
Active
Other names
Sea Island Medical Practice
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLYN ATKINSON AEMT (OFFICE MANAGER)
(909) 964-4917
Entity
Organization
Contact information
Practice address
12 PROFESSIONAL VILLAGE CIR, LADYS ISLAND, SC 29907-1569
(843) 524-6829
(843) 524-6820
Mailing address
12 PROFESSIONAL VILLAGE CIR, LADYS ISLAND, SC 29907-1569
(843) 524-6829
(843) 524-5820
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
05/12/2026
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