Provider Demographics
NPI:1013156306
Name:HYPERBARIC THERAPY OF THE LOW COUNTRY
Entity Type:Organization
Organization Name:HYPERBARIC THERAPY OF THE LOW COUNTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETE
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-298-3980
Mailing Address - Street 1:94 MAIN STREET
Mailing Address - Street 2:SUITE E
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29926
Mailing Address - Country:US
Mailing Address - Phone:843-681-3300
Mailing Address - Fax:843-681-3316
Practice Address - Street 1:94 MAIN STREET
Practice Address - Street 2:SUITE E
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29926
Practice Address - Country:US
Practice Address - Phone:843-681-3300
Practice Address - Fax:843-681-3316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty