| 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 |
|---|---|
| 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 | |
Alena Wroe, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 204 W Hill Blvd, Charleston Afb, SC 29404 Phone: 843-963-6539 |