Austin Ditmer, | |
96 Jonathan Lucas St Ste 210, Charleston, SC 29425-2906 | |
(843) 792-9729 | |
Not Available |
Full Name | Austin Ditmer |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 96 Jonathan Lucas St Ste 210, Charleston, 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 |
---|---|---|---|
1922569946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 91141 (South Carolina) | Primary |
Entity Name | University Medical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
Entity Name | Musc Community Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
Mailing Address | Practice Location Address |
---|---|
Austin Ditmer, 96 Jonathan Lucas St Ste 210, Charleston, SC 29425-8900 Ph: () - | Austin Ditmer, 96 Jonathan Lucas St Ste 210, Charleston, SC 29425-2906 Ph: (843) 792-9729 |
Dr. Richard Hayden Jones, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Sai Kiran Gudla, Radiology Medicare: Not Enrolled in Medicare Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-792-2575 | |
Karen L Spodarek, D.O. Radiology Medicare: Medicare Enrolled Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-724-2154 Fax: 843-805-6277 | |
Johnny Phillips Campbell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-724-2988 | |
Nancy Curry, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Donna Rae Roberts, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Christopher Jason Nguyen, MD Radiology Medicare: Medicare Enrolled Practice Location: 9228 Medical Plaza Dr, Charleston, SC 29406 Phone: 843-876-7080 Fax: 843-876-7111 |