Healthcare Provider Details

I. General information

NPI: 1316631930
Provider Name (Legal Business Name): CHRISTEENA TWAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2023
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 RIBAUT RD
BEAUFORT SC
29902-5454
US

IV. Provider business mailing address

955 RIBAUT RD
BEAUFORT SC
29902-5454
US

V. Phone/Fax

Practice location:
  • Phone: 843-522-5101
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number90292
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: