Organization
SOUTHERN MRI HILTON HEAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS JENKINS (MANAGER)
(843) 681-5636
Entity
Organization
Contact information
Practice address
460 WILLIAM HILTON PKWY, SUITE F1, HILTON HEAD ISLAND, SC 29926-2497
(843) 681-5636
Mailing address
PO BOX 190, BLUFFTON, SC 29910-0190
(843) 815-6411
(843) 815-6416
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SL0029
—
SC
Enumeration date
05/24/2006
Last updated
11/30/2007
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