Organization
NEW HOPE INTEGRATIVE MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE J TEASLEY MD (OWNER)
(843) 801-8011
Entity
Organization
Contact information
Practice address
775 SAINT JAMES AVE STE B, GOOSE CREEK, SC 29445-2836
(843) 801-8011
Mailing address
775 SAINT JAMES AVE STE B, GOOSE CREEK, SC 29445-2836
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207VG0400X
Gynecology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3760
—
SC
01
—
MD31456
STATE LICENSE
SC
Enumeration date
09/05/2017
Last updated
12/11/2023
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