Provider Demographics
NPI:1982640306
Name:HOPKINS, CHRISTIE BENET (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:BENET
Last Name:HOPKINS
Suffix:
Gender:M
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 648
Mailing Address - Street 2:UNIVERSITY SPECIALTY CLINICS-DEPT OF INTERNAL MEDICINE
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29202-0648
Mailing Address - Country:US
Mailing Address - Phone:803-540-1000
Mailing Address - Fax:803-540-1011
Practice Address - Street 1:TWO MEDICAL PARK,
Practice Address - Street 2:SUITE 506
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203
Practice Address - Country:US
Practice Address - Phone:803-540-1000
Practice Address - Fax:803-540-1011
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8339207RC0000X
SC08339207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC083395Medicaid
D17759Medicare UPIN
SC083395Medicaid
SCD17759Medicare UPIN