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1033193024

NPI Code Detail

MEDICARE: DR. STEPHEN SEAN LUTHER M.D.

MEDICARE: DR. STEPHEN SEAN LUTHER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	01042750A	IN
2	207R00000X	Internal Medicine Physician	29750	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033193024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN SEAN LUTHER M.D.

Provider Business Mailing Address
First Line	:	460 WILLIAM HILTON PKWY
Second Line	:
City	:	HILTON HEAD ISLAND
State	:	SC
Zip	:	29926-2497
Country	:	US
Telephone Number	:	843-738-4800
Fax Number	:	843-738-4801

Provider Business Practice Location Address
First Line	:	460 WILLIAM HILTON PKWY
Second Line	:
City	:	HILTON HEAD ISLAND
State	:	SC
Zip	:	29926-2497
Country	:	US
Telephone Number	:	843-738-4800
Fax Number	:	843-738-4801

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2005
Last Update Date	:	01/17/2023

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Directions to “ DR. STEPHEN SEAN LUTHER M.D.” Practice Location

Language	Start Address	Practice Location

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