Provider Demographics
NPI:1770686966
Name:NORTH, PATRICIA ANN (MD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:NORTH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7525
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29938-7525
Mailing Address - Country:US
Mailing Address - Phone:843-842-9600
Mailing Address - Fax:843-842-9700
Practice Address - Street 1:18 HOSPITAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-2733
Practice Address - Country:US
Practice Address - Phone:843-842-9600
Practice Address - Fax:843-842-9700
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2013-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18930207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCT29528Medicaid
SC110212759OtherRAILROAD MEDICARE
SC571105505OtherBLUE CROSS BLUE SHIELD
SCT29528Medicaid
SCA173116896Medicare UPIN