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NPI Code Detail

MEDICARE: DR. SEAN J HISLOP MD

MEDICARE: DR. SEAN J HISLOP MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0129XVascular Surgery Physician39157SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164536215
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEAN J HISLOP MD
Provider Business Mailing Address
First Line : 1327 ASHLEY RIVER RD
Second Line :
City : CHARLESTON
State : SC
Zip : 29407-5384
Country : US
Telephone Number : 843-577-4551
Fax Number : 843-577-8868
Provider Business Practice Location Address
First Line : 1327 ASHLEY RIVER RD
Second Line :
City : CHARLESTON
State : SC
Zip : 29407-5384
Country : US
Telephone Number : 843-577-4551
Fax Number : 843-577-8868
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 09/26/2016

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Directions to “ DR. SEAN J HISLOP MD” Practice Location

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