Healthcare Provider Details

I. General information

NPI: 1982191557
Provider Name (Legal Business Name): JOSEPH ALEXANDER HALINSKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2018
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1608 MAIN ST
CONWAY SC
29526-3572
US

IV. Provider business mailing address

1608 MAIN ST
CONWAY SC
29526-3572
US

V. Phone/Fax

Practice location:
  • Phone: 843-248-4700
  • Fax:
Mailing address:
  • Phone: 843-248-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberME157779
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME157779
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number95747
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: