Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL HOLBROOK HALVERSON, PA-C
ActiveSAMUEL HOLBROOK HALVERSON, PA-C is a Medical Physician Assistant healthcare provider located in CHARLESTON AFB, South Carolina. NPI 1639257025 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · CHARLESTON AFB, SC
Registration Details
- NPI Number
- 1639257025
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2006 (19.766976266321 yrs)
- Last Updated
- Apr 27, 2018
- License
-
2925 (SC)
Practice Information
- Address
-
204 W HILL BLVDCHARLESTON AFB, SC, 294044704Browse SC providers · Browse ZIP 29404
- Phone
- 9513137307
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.