Healthcare Provider Details

I. General information

NPI: 1134048259
Provider Name (Legal Business Name): WHITNEY HILBURN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 E CHEVES ST
FLORENCE SC
29506-2526
US

IV. Provider business mailing address

2225 RICHMOND HILLS DR
FLORENCE SC
29505-6856
US

V. Phone/Fax

Practice location:
  • Phone: 843-629-2465
  • Fax:
Mailing address:
  • Phone: 843-629-2465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: