Samuel Holbrook Halverson, PA-C | |
204 W Hill Blvd, Charleston Afb, SC 29404-4704 | |
(951) 313-7307 | |
Not Available |
Full Name | Samuel Holbrook Halverson |
---|---|
Gender | Male |
Speciality | Physician Assistant - Medical |
Location | 204 W Hill Blvd, Charleston Afb, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639257025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | 2925 (South Carolina) | Primary |
Mailing Address | Practice Location Address |
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Samuel Holbrook Halverson, PA-C 204 W Hill Blvd, Charleston Afb, SC 29404-4704 Ph: (951) 313-7307 | Samuel Holbrook Halverson, PA-C 204 W Hill Blvd, Charleston Afb, SC 29404-4704 Ph: (951) 313-7307 |
Mr. Robert Ray Bryant, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 204 W Hill Blvd, Charleston Afb, SC 29404 Phone: 843-963-6790 | |
Jessica Leane Smith, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 204 W Hill Blvd, Charleston Afb, SC 29404 Phone: 843-963-6880 |