Healthcare Provider Details

I. General information

NPI: 1033196282
Provider Name (Legal Business Name): SENTINEL HEALTH PARTNERS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2005
Last Update Date: 12/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 LAFAYETTE ST
CAMDEN SC
29020-3406
US

IV. Provider business mailing address

PO BOX 1259
CAMDEN SC
29021-1259
US

V. Phone/Fax

Practice location:
  • Phone: 803-713-8350
  • Fax: 803-713-8433
Mailing address:
  • Phone: 803-713-8350
  • Fax: 803-713-8433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES C MCALPINE JR.
Title or Position: CEO
Credential: MD
Phone: 803-713-8350