Provider Demographics
NPI:1114952272
Name:HOPKINS, REBECCA MCCARTER (MD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:MCCARTER
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:REBECCA
Other - Middle Name:MCCARTER
Other - Last Name:HOPKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1207 N FANT ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-4821
Mailing Address - Country:US
Mailing Address - Phone:864-231-0235
Mailing Address - Fax:864-224-7348
Practice Address - Street 1:1207 N FANT ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-4821
Practice Address - Country:US
Practice Address - Phone:864-231-0235
Practice Address - Fax:864-224-7348
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11892207Q00000X
NC29109207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC118928Medicaid
D176820281Medicare ID - Type Unspecified
D17682Medicare UPIN