Organization
OUTPATIENT SURGERY CENTER OF HILTON HEAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD E THOMAS (C.E.O.)
(843) 682-5001
Entity
Organization
Contact information
Practice address
190 PEMBROKE DR, HILTON HEAD ISLAND, SC 29926-2389
(843) 682-5002
(843) 682-5041
Mailing address
190 PEMBROKE DR, HILTON HEAD ISLAND, SC 29926-2389
(843) 682-5002
(843) 682-5041
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF-092
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ASC061
—
SC
Enumeration date
05/02/2006
Last updated
08/22/2020
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