Healthcare Provider Details
I. General information
NPI: 1083754923
Provider Name (Legal Business Name): REED M HECKERT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/08/2007
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 PINCKNEY BLVD
BEAUFORT SC
29902-6122
US
IV. Provider business mailing address
1 PINCKNEY BLVD
BEAUFORT SC
29902-6122
US
V. Phone/Fax
- Phone: 843-228-5600
- Fax:
- Phone: 843-228-5600
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | 85141 |
| License Number State | SC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | 2018-01248 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: