Temisan L Etikerentse is a Internal Medicine Physician based in Mt. Pleasant, SC. Temisan L Etikerentse practices in Moncks Corner, SC and has the professional credentials of MD. The NPI Number for Temisan L Etikerentse is 1710986757 and holds a License No. 20234 (South Carolina).
The current practice location address for Temisan L Etikerentse is 110 Executive Pkwy, Moncks Corner, SC and can be reached out via phone at 843-899-9099 and via fax at 843-899-9091. You can also correspond with Temisan L Etikerentse through the mailing address at 783 NAVIGATORS RUN, MT. PLEASANT, SC - 29464-2829 (mailing address contact number: 843-886-6729).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JB021564 | 01 | SC | JUA |
| 571134452 | 01 | FEDERAL IN | |
| GP3914 | 05 | SC | |
| 20 20234 | 01 | SC | STATE REGISTRATION |
| 20234 | 01 | SC | MEDICAL LICENSE |
| 202346 | 05 | SC | |
| 562413454 | 01 | SC | SECONDARY TAX ID |
| 562413454 | 01 | FEDERAL IN | |
| 75767 | 01 | SC | SC PCF |
| 9800859 | 01 | NC | MEDICAL LICENSE |
| GP3438 | 05 | SC | |
| JB021584 | 01 | JUA |
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