Temisan L Etikerentse in Moncks Corner - Internal Medicine
Temisan L Etikerentse - NPI 1710986757
Temisan L Etikerentse is a Internal Medicine in Moncks Corner, South Carolina. Temisan L Etikerentse practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Temisan L Etikerentse is 1710986757. The last update date is 2023-03-07.
Temisan L Etikerentse's current location address is 110 Executive Pkwy, Moncks Corner, South Carolina. You can contact this provider via phone number 8438999099 and fax number 8438999091. The mailing address for Temisan L Etikerentse is 110 Executive Pkwy, Moncks Corner, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Temisan L Etikerentse |
|---|---|
| Address | 110 Executive Pkwy, Moncks Corner, South Carolina |
| Phone Number | 8438999099 |
| Fax Number | 8438999091 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1710986757 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 110 Executive Pkwy |
|---|---|
| City | Moncks Corner |
| State | South Carolina (SC) |
| Post Code | 294613930 |
| Phone Number | 8438999099 |
| Fax Number | 8438999091 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 20234 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| JB021564 | SC | JUA | |
| 571134452 | FEDERAL IN | ||
| GP3914 | SC | -- | |
| 20 20234 | SC | STATE REGISTRATION | |
| 20234 | SC | MEDICAL LICENSE | |
| 202346 | SC | -- | |
| 562413454 | SC | SECONDARY TAX ID | |
| 562413454 | FEDERAL IN | ||
| 75767 | SC | SC PCF | |
| 9800859 | NC | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Temisan L Etikerentse by the Centers for Medicare & Medicaid Services (CMS)?
The Temisan L Etikerentse has been assigned the NPI (National Provider Identifier) 1710986757. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Temisan L Etikerentse?
The Temisan L Etikerentse is situated at 110 Executive Pkwy, in the city of Moncks Corner, state of SC, with the zip code 294613930.
What is Temisan L Etikerentse's area of expertise and its corresponding taxonomy classification?
The Temisan L Etikerentse's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1710986757 to Temisan L Etikerentse?
The Temisan L Etikerentse received its 1710986757 assignment from the Centers for Medicare & Medicaid Services on 2005-07-20.
When was the information regarding Temisan L Etikerentse most recently updated?
The details pertaining to the Temisan L Etikerentse, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.