Charles R Tatum, MD | |
101 William H. Johnson Street, Ste 500, Florence, SC 29506-2772 | |
(843) 777-7410 | |
(843) 777-7440 |
Full Name | Charles R Tatum |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 101 William H. Johnson Street, Florence, 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 |
---|---|---|---|
1558333278 | NPI | - | NPPES |
890609B | Other | NC | NC MEDICAID |
111051 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 11105 (South Carolina) | Primary |
Entity Name | Mcleod Regional Medical Center Of The Pee Dee, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427004738 PECOS PAC ID: 7416851852 Enrollment ID: O20040630000125 |
Entity Name | Mcleod Physician Associates Ii |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
Mailing Address | Practice Location Address |
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Charles R Tatum, MD Po Box 3239, Florence, SC 29502-3239 Ph: (843) 656-2227 | Charles R Tatum, MD 101 William H. Johnson Street, Ste 500, Florence, SC 29506-2772 Ph: (843) 777-7410 |
Dr. Edward Martin Kowal Iii, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 William H Johnson St Ste 500, Florence, SC 29506 Phone: 843-777-7400 | |
Dr. James Michael Davidson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 William H. Johnson Street, Suite 200, Florence, SC 29506 Phone: 843-777-7500 Fax: 843-777-7533 | |
Dr. Angela Lynn Clary, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 101 Johns Street, Suite 200, Florence, SC 29506 Phone: 843-777-7500 Fax: 843-777-7533 | |
Dr. Jennifer Christy Patchett, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1590 Freedom Blvd Ste B, Florence, SC 29505 Phone: 843-665-9581 Fax: 843-669-6426 | |
Dr. Steven Coker, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1590 Freedom Blvd, Ste. B, Florence, SC 29505 Phone: 843-665-9581 | |
John Marshall Dent Iii, MD OBGYN Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 410 South Coit St, Florence, SC 29501 Phone: 843-665-5055 Fax: 843-667-1954 | |
Dr. Candice Whitaker Greenan, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 William H. Johnson Street, Suite 500, Florence, SC 29506 Phone: 843-777-7400 Fax: 843-777-7440 |