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Sutton A Hulse

Student in an Organized Health Care Education/Training Program

Student, Health Care

809 82nd Pkwy, Myrtle Beach, SC 29572-4607

PECOS Enrollment

This provider is enrolled in PECOS as SUTTON HULSE.

Based on the most recent information from CMS, provider Sutton A Hulse is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:05 AM.

Profile Details

Provider ID
1134821739
Provider Type
Individual
Full Name
Hulse, Sutton A
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/20/2023
Last Updated
3/29/2023

Contact Information

Practice Location

809 82nd Pkwy, Myrtle Beach, SC 29572-4607

(843) 692-1595

Unlisted Fax

Mailing Location

809 82nd Pkwy, Myrtle Beach, SC 29572-4607

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Sutton A Hulse

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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