| Hypertension And Diabetes Prevention And Treatment Center Inc | |
|
1812 Malden Drive Hdpt Center Inc Florence SC 29505-3128 | |
| (843) 307-2360 | |
| Not Available |
| Full Name | Hypertension And Diabetes Prevention And Treatment Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1812 Malden Drive, Florence, South Carolina |
| Authorized Official Name and Position | Evelyn R Coe (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 8433072360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hypertension And Diabetes Prevention And Treatment Center Inc 1812 Malden Drive Florence SC 29505-3128 Ph: (843) 307-2360 | Hypertension And Diabetes Prevention And Treatment Center Inc 1812 Malden Drive Hdpt Center Inc Florence SC 29505-3128 Ph: (843) 307-2360 |
| NPI Number | 1669919007 |
|---|---|
| Provider Enumeration Date | 01/24/2017 |
| Last Update Date | 01/24/2017 |
| Medicare PECOS PAC ID | 1557642998 |
|---|---|
| Medicare Enrollment ID | O20161227000811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669919007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | APRN 1734 (South Carolina) | Primary |
| Provider Name | Evelyn Rebecca Coe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710092069 PECOS PAC ID: 7315918844 Enrollment ID: I20040805001264 |
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