Organization
HOPECLINIC WALTERBORO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEMISAN L ETIKERENTSE MD (CEO MD)
(843) 549-9200
Entity
Organization
Contact information
Practice address
211 EDDIE CHASTEEN DR, WALTERBORO, SC 29488-5728
(843) 549-9200
(843) 549-8476
Mailing address
211 EDDIE CHASTEEN DR, WALTERBORO, SC 29488-5728
(843) 549-9200
(843) 549-8476
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
20234
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3914
—
SC
Enumeration date
03/23/2006
Last updated
08/22/2020
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