Provider Demographics
NPI:1518390087
Name:RIVER HILLS ORTHOPAEDICS, LLC
Entity Type:Organization
Organization Name:RIVER HILLS ORTHOPAEDICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:843-663-3700
Mailing Address - Street 1:4237 RIVER HILLS DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:LITTLE RIVER
Mailing Address - State:SC
Mailing Address - Zip Code:29566-6444
Mailing Address - Country:US
Mailing Address - Phone:843-663-3700
Mailing Address - Fax:843-663-3708
Practice Address - Street 1:4237 RIVER HILLS DR
Practice Address - Street 2:SUITE 130
Practice Address - City:LITTLE RIVER
Practice Address - State:SC
Practice Address - Zip Code:29566-6444
Practice Address - Country:US
Practice Address - Phone:843-663-3700
Practice Address - Fax:843-663-3708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-19
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCDO378207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCE78152Medicare UPIN