Provider Demographics
NPI:1184795841
Name:HILTON HEAD INTERNISTS, LLC
Entity type:Organization
Organization Name:HILTON HEAD INTERNISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:GIGANTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-301-3153
Mailing Address - Street 1:35 BILL FRIES DRIVE
Mailing Address - Street 2:BUILDING H
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29926
Mailing Address - Country:US
Mailing Address - Phone:843-681-2222
Mailing Address - Fax:843-681-4721
Practice Address - Street 1:35 BILL FRIES DRIVE
Practice Address - Street 2:BUILDING H
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29926
Practice Address - Country:US
Practice Address - Phone:843-681-2222
Practice Address - Fax:843-681-4721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC261QP2300X
207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1184795841OtherNPI
SCGP3002Medicaid
SC1184795841OtherNPI