Organization
HITCHCOCK HEALTHCARE, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN BOWLES (EXECUTIVE DIRECTOR)
(803) 293-4342
Entity
Organization
Contact information
Practice address
690 MEDICAL PARK DR, AIKEN, SC 29801-6348
(803) 648-8344
Mailing address
690 MEDICAL PARK DR, AIKEN, SC 29801-6348
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154698700
WORKER'S COMP.
SC
05
—
342053
—
SC
05
—
GP0275
—
SC
Enumeration date
04/04/2006
Last updated
07/10/2013
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