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NPI Code Detail

MEDICARE: SOUTHERN MRI HILTON HEAD

MEDICARE: SOUTHERN MRI 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
12085B0100XBody Imaging Physician

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 : 1407801863
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHERN MRI HILTON HEAD
Provider Business Mailing Address
First Line : PO BOX 190
Second Line :
City : BLUFFTON
State : SC
Zip : 29910-0190
Country : US
Telephone Number : 843-815-6411
Fax Number : 843-815-6416
Provider Business Practice Location Address
First Line : 460 WILLIAM HILTON PKWY
Second Line : SUITE F1
City : HILTON HEAD ISLAND
State : SC
Zip : 29926-2497
Country : US
Telephone Number : 843-681-5636
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : CHRIS JENKINS
Credential :
Telephone Number : 843-681-5636
Provider Enumeration Date : 05/24/2006
Last Update Date : 11/30/2007

Similar Medicare Providers

1033193024 — DR. STEPHEN SEAN LUTHER M.D.
Practice Location Address:
460 WILLIAM HILTON PKWY
HILTON HEAD ISLAND, SC
29926-2497
Practice Phone: 843-738-4800
Practice Fax: 843-738-4801
1750352886 — ROBIN A FANIZZI DPT
Practice Location Address:
460 WILLIAM HILTON PKWY
HILTON HEAD ISLAND, SC
29926-2497
Practice Phone: 843-738-4300
Practice Fax: 843-738-4801
1982658662 — LISA M MAZEIKA PA-C
Practice Location Address:
460 WILLIAM HILTON PKWY
HILTON HEAD ISLAND, SC
29926-2497
Practice Phone: 843-738-4800
Practice Fax: 843-738-4801
1104849488 — FRANK R BARBIERI DDS,MS
Practice Location Address:
460 WILLIAM HILTON PKWY
HILTON HEAD ISLAND, SC
29926-2497
Practice Phone: 843-342-7533
Practice Fax: 866-740-3543
1558384776 — CHRISTOPHER ERIC MADISON M.D.
Practice Location Address:
460 WILLIAM HILTON PKWY
HILTON HEAD ISLAND, SC
29926-2497
Practice Phone: 843-738-4800
Practice Fax: 843-738-4801
1841456571 — MRS. SARA E MINTZ MSPT
Practice Location Address:
460 WILLIAM HILTON PKWY
HILTON HEAD ISLAND, SC
29926-2497
Practice Phone: 843-738-4800
Practice Fax:

Directions to “SOUTHERN MRI HILTON HEAD ” Practice Location

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