Provider Demographics
NPI:1639373434
Name:HEMPHILL JONES, CHRISTINE LOUISE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:LOUISE
Last Name:HEMPHILL JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:LOUISE
Other - Last Name:CIMO HEMPHILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1165 HIGHWAY 1 S STE 500
Mailing Address - Street 2:
Mailing Address - City:LUGOFF
Mailing Address - State:SC
Mailing Address - Zip Code:29078-8966
Mailing Address - Country:US
Mailing Address - Phone:803-438-0825
Mailing Address - Fax:803-438-0817
Practice Address - Street 1:1165 HIGHWAY 1 S STE 500
Practice Address - Street 2:
Practice Address - City:LUGOFF
Practice Address - State:SC
Practice Address - Zip Code:29078-8966
Practice Address - Country:US
Practice Address - Phone:803-438-0825
Practice Address - Fax:803-438-0817
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101251440207V00000X
NC2009-01564207V00000X
NE26031207V00000X
LAMD.207685207V00000X
PAMD460129207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC09633OtherGROUP PTAN