MEDICARE: FAMILY MEDICINE OF HILTON HEAD

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
1	207Q00000X	Family Medicine Physician	12089	SC

General Provider Information

NPI Number	:	1275633414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY MEDICINE OF HILTON HEAD

Provider Business Mailing Address
First Line	:	843 WILLIAM HILTON PKWY
Second Line	:
City	:	HILTON HEAD
State	:	SC
Zip	:	29928-3404
Country	:	US
Telephone Number	:	843-842-3331
Fax Number	:	843-686-2035

Provider Business Practice Location Address
First Line	:	843 WILLIAM HILTON PKWY
Second Line	:
City	:	HILTON HEAD
State	:	SC
Zip	:	29928-3404
Country	:	US
Telephone Number	:	843-842-3331
Fax Number	:	843-686-2035

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KENT BOYD ENGLAND
Credential	:	M.D.
Telephone Number	:	843-842-3331

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	03/07/2008

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