Medical Group Of The Carolinas - Diabetes And Endocrinology - Spartanb | |
853 N Church St, Suite 720, Spartanburg, SC 29303-3098 | |
(864) 560-6419 | |
(864) 560-7498 |
Full Name | Medical Group Of The Carolinas - Diabetes And Endocrinology - Spartanb |
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Type | Facility |
Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 853 N Church St, Spartanburg, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033150875 | NPI | - | NPPES |
CN1627 | Other | SC | RAILROAD MEDICARE GROUP # |
GP2425 | Medicaid | SC | |
Q601200001 | Other | SC | MEDICARE PIN |
5906868 | Medicaid | NC | |
DEP019 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Mayte L Sandrin |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1437129525 PECOS PAC ID: 3971547142 Enrollment ID: I20050617000805 |
Provider Name | Erica S Moore |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1679658686 PECOS PAC ID: 9739101585 Enrollment ID: I20051221000592 |
Provider Name | Paige M Gault |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1538185806 PECOS PAC ID: 7214933894 Enrollment ID: I20061005000213 |
Provider Name | John B Schenck |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1942362793 PECOS PAC ID: 7810930922 Enrollment ID: I20070618000481 |
Provider Name | Stacy Renee Eilers |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1831380567 PECOS PAC ID: 7911086400 Enrollment ID: I20080508000756 |
Provider Name | Jennifer Lynn Confortini |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1376949057 PECOS PAC ID: 0042533549 Enrollment ID: I20210115001358 |
Provider Name | Natia Kirk Murvelashvili |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1225551781 PECOS PAC ID: 8921493107 Enrollment ID: I20220325000743 |
Mailing Address | Practice Location Address |
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Medical Group Of The Carolinas - Diabetes And Endocrinology - Spartanb Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304 | Medical Group Of The Carolinas - Diabetes And Endocrinology - Spartanb 853 N Church St, Suite 720, Spartanburg, SC 29303-3098 Ph: (864) 560-6419 |