Provider Demographics
NPI:1275633414
Name:FAMILY MEDICINE OF HILTON HEAD
Entity Type:Organization
Organization Name:FAMILY MEDICINE OF HILTON HEAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENT
Authorized Official - Middle Name:BOYD
Authorized Official - Last Name:ENGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-842-3331
Mailing Address - Street 1:843 WILLIAM HILTON PKWY
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29928-3404
Mailing Address - Country:US
Mailing Address - Phone:843-842-3331
Mailing Address - Fax:843-686-2035
Practice Address - Street 1:843 WILLIAM HILTON PKWY
Practice Address - Street 2:
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29928-3404
Practice Address - Country:US
Practice Address - Phone:843-842-3331
Practice Address - Fax:843-686-2035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12089207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty