Provider Demographics
NPI:1700035938
Name:HYPERBARICS OF HILTON HEAD
Entity Type:Organization
Organization Name:HYPERBARICS OF HILTON HEAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:C
Authorized Official - Last Name:KLINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-681-1811
Mailing Address - Street 1:200 MERCHANT STREET
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29926
Mailing Address - Country:US
Mailing Address - Phone:843-681-1811
Mailing Address - Fax:843-689-7150
Practice Address - Street 1:58 SHELTER COVE LANE
Practice Address - Street 2:SUITE B
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29928-3571
Practice Address - Country:US
Practice Address - Phone:843-341-5268
Practice Address - Fax:843-341-5269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-11
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric MedicineGroup - Multi-Specialty