Healthcare Provider Details
I. General information
NPI: 1720772718
Provider Name (Legal Business Name): ALRMD PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/05/2023
Last Update Date: 09/28/2023
Certification Date: 09/28/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
107 SEAGRASS STATION RD
BLUFFTON SC
29910-9549
US
IV. Provider business mailing address
301 CENTRAL AVE
HILTON HEAD SC
29926-1638
US
V. Phone/Fax
- Phone: 843-836-8200
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EDWARD
REID
Title or Position: MANAGER
Credential:
Phone: 843-593-8019