Healthcare Provider Details

I. General information

NPI: 1952413015
Provider Name (Legal Business Name): HELOISE D WESTBROOK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 MONTGOMERY DR
ANDERSON SC
29621-3334
US

IV. Provider business mailing address

PO BOX 5111
HILTON HEAD SC
29938-5111
US

V. Phone/Fax

Practice location:
  • Phone: 864-225-5597
  • Fax: 864-516-8984
Mailing address:
  • Phone: 605-228-0097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number4824
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number47657
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number47657
License Number StateKY
# 4
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberMD97192
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: