Individual
DEBORAH L HIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
152 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8901
(866) 418-9211
(866) 469-9514
Mailing address
2420 GIST LN, MYRTLE BEACH, SC 29588-5438
(866) 418-9211
(866) 469-9514
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F1320
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1614
—
SC
Enumeration date
09/21/2006
Last updated
05/02/2013
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