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Individual

CHRISTOPER D. HUIET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
1005 E CHEVES ST, FLORENCE, SC 29506-2707
(843) 777-7900
(843) 777-7102
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7097
(843) 777-7102

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
646
SC
363AS0400X
Surgical Physician Assistant
Primary
646

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0474PA
SC
01
576007863178
BCBS OF SC
SC
01
P00385490
RR MEDICARE
SC
Enumeration date
10/13/2006
Last updated
02/03/2021
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