Ashley Tolbert, FNP | |
40 Baldwin Ave, Lugoff, SC 29078-9406 | |
(803) 408-3262 | |
(803) 408-8895 |
Full Name | Ashley Tolbert |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 40 Baldwin Ave, Lugoff, 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 |
---|---|---|---|
1679979231 | NPI | - | NPPES |
18715 | Other | SC | SC LIC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 18715 (South Carolina) | Primary |
Entity Name | Sandhills Medical Foundation, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568541597 PECOS PAC ID: 8224949821 Enrollment ID: O20031126000326 |
Entity Name | Sandhills Medical Foundation, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922584481 PECOS PAC ID: 8224949821 Enrollment ID: O20200528000475 |
Entity Name | Sandhills Medical Foundation, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083228779 PECOS PAC ID: 8224949821 Enrollment ID: O20230104003131 |
Mailing Address | Practice Location Address |
---|---|
Ashley Tolbert, FNP 40 Baldwin Ave, Po Box 366, Lugoff, SC 29078-9406 Ph: (803) 408-3262 | Ashley Tolbert, FNP 40 Baldwin Ave, Lugoff, SC 29078-9406 Ph: (803) 408-3262 |
Dr. Olajide A. Balogun, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1165 Highway 1 S, Suite 200, Lugoff, SC 29078 Phone: 803-408-0225 Fax: 803-408-0729 | |
Theresa Rose Alderson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 40 Baldwin Ave, Lugoff, SC 29078 Phone: 803-408-3262 Fax: 803-408-8895 |