| Hopeclinic Walterboro | |
|
211 Eddie Chasteen Dr Walterboro SC 29488-5728 | |
| (843) 549-9200 | |
| (843) 549-8476 |
| Full Name | Hopeclinic Walterboro |
|---|---|
| Speciality | Clinic/center |
| Location | 211 Eddie Chasteen Dr, Walterboro, South Carolina |
| Authorized Official Name and Position | Temisan L Etikerentse (CEO MD) |
| Authorized Official Contact | 8435499200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopeclinic Walterboro 211 Eddie Chasteen Dr Walterboro SC 29488-5728 Ph: (843) 549-9200 | Hopeclinic Walterboro 211 Eddie Chasteen Dr Walterboro SC 29488-5728 Ph: (843) 549-9200 |
| NPI Number | 1912967290 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912967290 | NPI | - | NPPES |
| GP3914 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 20234 (South Carolina) | Primary |
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