Organization
BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC
Active
Parent organization
BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC
Other names
Beaufort Jasper Hampton Comprehensive Health Services, MDPP
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC
Authorized official
ROLAND J GARDNER (CHIEF EXECUTIVE OFFICER)
(843) 987-7400
Entity
Organization
Contact information
Practice address
719 OKATIE HWY # 170, OKATIE, SC 29909-3963
(843) 987-7400
Mailing address
PO BOX 357, RIDGELAND, SC 29936-2605
(843) 987-7400
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DPE064
—
SC
Enumeration date
08/28/2018
Last updated
08/28/2018
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