Organization
HILTON HEAD GASTROENTEROLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNA DAVIS (MEDICAL BILLER)
(843) 681-6630
Entity
Organization
Contact information
Practice address
35 BILL FRIES DR, BLDG F, HILTON HEAD, SC 29926-2730
(843) 681-6630
(843) 681-3295
Mailing address
300 NEW RIVER PKWY, BLDG 6 SUITE 11, HARDEEVILLE, SC 29927-4450
(843) 208-3400
(843) 681-3295
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2994
—
SC
Enumeration date
05/29/2007
Last updated
11/28/2007
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