Healthcare Provider Details

I. General information

NPI: 1689879264
Provider Name (Legal Business Name): SENTINEL HEALTH PARTNERS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2007
Last Update Date: 10/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 LAURENS ST
CAMDEN SC
29020-3523
US

IV. Provider business mailing address

PO BOX 1259
CAMDEN SC
29021-1259
US

V. Phone/Fax

Practice location:
  • Phone: 803-432-9874
  • Fax: 803-432-8441
Mailing address:
  • Phone: 803-713-8350
  • Fax: 803-713-8433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES C. MCALPINE JR.
Title or Position: CEO
Credential: MD
Phone: 803-438-1806