Organization
THE CLINIC
Active
Other names
La Clinica
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GIUSEPPE BALIN DEABATE APRN (OWNER)
(843) 338-1337
Entity
Organization
Contact information
Practice address
157 WILLIAM HILTON PKWY, HILTON HEAD ISLAND, SC 29926-5218
(843) 681-8260
Mailing address
157 WILLIAM HILTON PKWY, HILTON HEAD ISLAND, SC 29926-5218
(843) 681-8260
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
A1897
SC
364SP0200X
Pediatric Clinical Nurse Specialist
P1897
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA10337919
MEDICARE ID-TYPE UNSPECIFIED
SC
05
—
NP0909
—
SC
Enumeration date
10/24/2012
Last updated
10/24/2012
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