| Northwoods Internal Medicine | |
|
2179 Ashley Phosphate Rd Ste B N Charleston SC 29406-4180 | |
| (843) 572-1946 | |
| (843) 572-0855 |
| Full Name | Northwoods Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2179 Ashley Phosphate Rd, N Charleston, South Carolina |
| Authorized Official Name and Position | Lloyd Earl Hepburn (PRESIDENT) |
| Authorized Official Contact | 8435721946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwoods Internal Medicine 2179 Ashley Phosphate Rd Ste B N Charleston SC 29406-4180 Ph: (843) 572-1946 | Northwoods Internal Medicine 2179 Ashley Phosphate Rd Ste B N Charleston SC 29406-4180 Ph: (843) 572-1946 |
| NPI Number | 1922279298 |
|---|---|
| Provider Enumeration Date | 03/14/2008 |
| Last Update Date | 03/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922279298 | NPI | - | NPPES |
| 182796 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 18279 (South Carolina) | Primary |
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