Organization
HALO PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY GAULTNEY APRN (OWNER)
(843) 603-4800
Entity
Organization
Contact information
Practice address
40 OKATIE CTR BLVD STE 215, OKATIE, SC 29909-7507
(256) 453-6074
Mailing address
40 OKATIE CENTER BLVD S STE 301, BLUFFTON, SC 29909-7507
(843) 603-4800
(843) 603-4900
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
10/08/2025
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