Organization
HOPE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEMISAN ETIKERENTSE M.D (MEDICAL PROVIDER)
(843) 725-4673
Entity
Organization
Contact information
Practice address
5880 RIVERS AVE, NORTH CHARLESTON, SC 29406-6053
(843) 725-4673
(843) 725-1235
Mailing address
5880 RIVERS AVE, NORTH CHARLESTON, SC 29406-6053
(843) 725-4673
(843) 725-1235
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
24720000X
SC
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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