Head, Douglas S
Head, Douglas S is an individual health care provider with primary practice located at 4630 Hwy 17 Bypass , Murrells Inlet SC 29576-2662. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Head, Douglas S can be contacted via phone (843) 357-1299.Contact Information
Primary practice address
4630 Hwy 17 Bypass
Murrells Inlet SC 29576-2662
Phone: (843) 357-1299
Fax: (843) 357-2264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 12647 | South Carolina |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 12647 | South Carolina |
Profile Details
| NPI number | 1851383459 |
|---|---|
| LBN Legal business name | Head, Douglas S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Jul 25th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851383459 | NPPES |
| South Carolina | MEDICAID | 126474 | |
| South Carolina | MEDICAID | GP0975 |
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