Mr Yaw Boateng, RD, CDE | |
3310 Magnolia St, Orangeburg, SC 29115-1466 | |
(803) 531-6900 | |
(803) 531-6907 |
Full Name | Mr Yaw Boateng |
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Gender | Male |
Speciality | Dietitian, Registered |
Location | 3310 Magnolia St, Orangeburg, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053752683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 382 (South Carolina) | Primary |
133NN1002X | Nutritionist - Nutrition, Education | 382 (South Carolina) | Secondary |
Provider Name | Family Health Centers, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1144248451 PECOS PAC ID: 2860305075 Enrollment ID: O20031112000393 |
Mailing Address | Practice Location Address |
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Mr Yaw Boateng, RD, CDE 3310 Magnolia St, Orangeburg, SC 29115-1466 Ph: (803) 531-6900 | Mr Yaw Boateng, RD, CDE 3310 Magnolia St, Orangeburg, SC 29115-1466 Ph: (803) 531-6900 |
Jessica Lang Morrison, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1181 Hutto St, Orangeburg, SC 29118 Phone: 803-516-4227 | |
Carmen Thompson, RD, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2596 | |
Maia Burnett, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1550 Carolina Ave, Orangeburg, SC 29115 Phone: 803-268-5752 | |
Rachael Craig, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2261 | |
Mrs. Rebecca Christine Fuller, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3000 St Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-4478 | |
Kathleen O'keeffe, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2200 |