NPI Code Details Logo

NPI 1285614479

NPI 1285614479 : DR. ROBERT MICHAEL HELLAMS : FOUNTAIN INN, SC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1285614479
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    DR. ROBERT MICHAEL HELLAMS
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/23/2006
-----------------------------------------------------
    Last Update Date     |    03/05/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    200 N NELSON DR 
-----------------------------------------------------
    City                 |    FOUNTAIN INN
-----------------------------------------------------
    State                |    SC
-----------------------------------------------------
    Zip                  |    29644-9021
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    864-522-3270
-----------------------------------------------------
    Fax                  |    864-522-6275
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    300 E MCBEE AVE FL 4 
-----------------------------------------------------
    City                 |    GREENVILLE
-----------------------------------------------------
    State                |    SC
-----------------------------------------------------
    Zip                  |    29601-2842
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    864-695-6697
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    18892
-----------------------------------------------------
    License Number State |    SC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207P00000X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Medicine Physician
-----------------------------------------------------
    License Number       |    18892
-----------------------------------------------------
    License Number State |    SC
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207P00000X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Medicine Physician
-----------------------------------------------------
    License Number       |    2013-02298
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    2013-02298
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.