Provider Demographics
NPI:1053435867
Name:VOLUNTEERS IN MEDICINE
Entity type:Organization
Organization Name:VOLUNTEERS IN MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD FACS
Authorized Official - Phone:843-681-6612
Mailing Address - Street 1:VOLUNTEERS IN MEDICINE CLINIC
Mailing Address - Street 2:15 NORTHRIDGE DRIVE
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926
Mailing Address - Country:US
Mailing Address - Phone:843-681-6612
Mailing Address - Fax:843-681-6614
Practice Address - Street 1:VOLUNTEERS IN MEDICINE CLINIC
Practice Address - Street 2:15 NORTHRIDGE DRIVE
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926
Practice Address - Country:US
Practice Address - Phone:843-681-6612
Practice Address - Fax:843-681-6614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty