MEDICARE: HILTON ACUPUNCTURE LTD. CO.

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	261Q00000X	Clinic/Center	680	NC
2	261Q00000X	Clinic/Center	187	SC

General Provider Information

NPI Number	:	1962882415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HILTON ACUPUNCTURE LTD. CO.

Provider Business Mailing Address
First Line	:	PO BOX 312
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29465-0312
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	912 SAVANNAH HWY
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-7802
Country	:	US
Telephone Number	:	843-284-9889
Fax Number	:

Authorized Official
Title or Position	:	LICENSED ACUPUNCTURIST
Name	:	MONICA L HILTON
Credential	:	DIPL. O.M., L.AC.
Telephone Number	:	843-284-9889

Provider Enumeration Date	:	05/30/2015
Last Update Date	:	09/01/2016

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