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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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