1205546454 NPI number — SOUTHEASTERN REGENERATIVE INSTITUTE

Table of content: (NPI 1205546454)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205546454 NPI number — SOUTHEASTERN REGENERATIVE INSTITUTE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTHEASTERN REGENERATIVE INSTITUTE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205546454
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/29/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15 MOSS CREEK VLG
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HILTON HEAD ISLAND
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29926-1105
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-642-6500
Provider Business Mailing Address Fax Number:
803-642-6472

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15 MOSS CREEK VLG
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HILTON HEAD ISLAND
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29926-1105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-642-6500
Provider Business Practice Location Address Fax Number:
803-642-6472
Provider Enumeration Date:
11/29/2022

Additional Information

Authorized Official

Authorized Official Last Name:
DURRETT
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
EDWARD
Authorized Official Title or Position:
CO-OWNER
Authorized Official Telephone Number:
803-642-6500

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207LP2900X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com