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HOPE CLINIC LLC NPI 1205017860


NPI Information

NPI: 1205017860
Provider Name: HOPE CLINIC LLC

Doing Business As: HOPE CLINIC - NORTH CHARLESTON

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
5880 RIVERS AVE
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 725-4673
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HOPE CLINIC LLC is an internal medicine in North Charleston, SC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. HOPE CLINIC LLC NPI is 1205017860. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Hope Clinic - North Charleston.

The provider's business location address is:

5880 RIVERS AVE
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 725-4673
Fax: (843) 725-1235

The provider's authorized official is Temisan L Etikerentse .
The authorized official title is Medical Doctor, Ceo and has the following contact phone number (843) 725-4673.

The enumeration date for this NPI number is 11/23/2007 and was last updated on 6/2/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine20234SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1JB021584OTHERSOUTH CAROLINAJUA
2G78883MEDICARE UPINSOUTH CAROLINA
3BE5959450OTHERSOUTH CAROLINADEA
475767OTHERSOUTH CAROLINASC PCF
520067813-001OTHERSOUTH CAROLINAFIRST CHOICE
6GP4815MEDICAIDSOUTH CAROLINA
720234OTHERSOUTH CAROLINASTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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