Healthcare Provider Details

I. General information

NPI: 1609390558
Provider Name (Legal Business Name): ALEXANDER HOVEY PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2017
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

526 NORTH ST
BAMBERG SC
29003-1319
US

IV. Provider business mailing address

86 WREN ST
BARNWELL SC
29812-1529
US

V. Phone/Fax

Practice location:
  • Phone: 803-245-2433
  • Fax: 803-245-6274
Mailing address:
  • Phone: 803-259-5762
  • Fax: 803-259-3250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2722
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: