| Sea Pines Circle Immediate Care, Llc | |
|
2 Greenwood Dr Hilton Head SC 29928-4538 | |
| (843) 341-2700 | |
| Not Available |
| Full Name | Sea Pines Circle Immediate Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2 Greenwood Dr, Hilton Head, South Carolina |
| Authorized Official Name and Position | Arvin M Ward (OWNER) |
| Authorized Official Contact | 8433412700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea Pines Circle Immediate Care, Llc 2 Greenwood Dr Hilton Head SC 29928-4538 Ph: (843) 341-2700 | Sea Pines Circle Immediate Care, Llc 2 Greenwood Dr Hilton Head SC 29928-4538 Ph: (843) 341-2700 |
| NPI Number | 1275056715 |
|---|---|
| Provider Enumeration Date | 07/17/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9931475910 |
|---|---|
| Medicare Enrollment ID | O20171018002203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275056715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Patrick M Jordan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447209663 PECOS PAC ID: 6901875228 Enrollment ID: I20041001000871 |
| Provider Name | Stephen F Larson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386755775 PECOS PAC ID: 4688576325 Enrollment ID: I20131008000723 |
| Provider Name | Megan Marguerite Pruitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508289141 PECOS PAC ID: 6608006705 Enrollment ID: I20170717000604 |
| Provider Name | Lorena Marie Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881278968 PECOS PAC ID: 4880080431 Enrollment ID: I20220406002968 |
| Provider Name | Rachel A Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376041442 PECOS PAC ID: 6103188602 Enrollment ID: I20220527001834 |
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