| Hope Clinic - North Charleston | |
|
5880 Rivers Ave North Charleston SC 29406 | |
| (843) 725-4673 | |
| (843) 725-1235 |
| Full Name | Hope Clinic - North Charleston |
|---|---|
| Speciality | Internal Medicine |
| Location | 5880 Rivers Ave, North Charleston, South Carolina |
| Authorized Official Name and Position | Temisan L Etikerentse (MEDICAL DOCTOR, CEO) |
| Authorized Official Contact | 8437254673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Clinic - North Charleston 5880 Rivers Ave North Charleston SC 29406-6053 Ph: (843) 725-4673 | Hope Clinic - North Charleston 5880 Rivers Ave North Charleston SC 29406 Ph: (843) 725-4673 |
| NPI Number | 1205017860 |
|---|---|
| Provider Enumeration Date | 11/23/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205017860 | NPI | - | NPPES |
| 20234 | Other | SC | STATE LICENSE |
| 20067813-001 | Other | SC | FIRST CHOICE |
| GP4815 | Medicaid | SC | |
| 75767 | Other | SC | SC PCF |
| JB021584 | Other | SC | JUA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20234 (South Carolina) | Primary |
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