Provider Demographics
NPI:1841815503
Name:HIONIS, EFTHEMIOS
Entity type:Individual
Prefix:DR
First Name:EFTHEMIOS
Middle Name:
Last Name:HIONIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:TIM
Other - Middle Name:
Other - Last Name:HIONIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:15 STONEWALL CT
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-8931
Mailing Address - Country:US
Mailing Address - Phone:803-834-2164
Mailing Address - Fax:
Practice Address - Street 1:15 STONEWALL CT
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-8931
Practice Address - Country:US
Practice Address - Phone:803-834-2164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5896225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist