Charles Ray Mitchell, MD | |
25 Airpark Ct, Greenville, SC 29607-6188 | |
(864) 546-4497 | |
(864) 546-4506 |
Full Name | Charles Ray Mitchell |
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Gender | Male |
Speciality | Family Medicine |
Location | 25 Airpark Ct, Greenville, 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 |
---|---|---|---|
1437195120 | NPI | - | NPPES |
T71482 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 22923 (South Carolina) | Primary |
208VP0000X | Pain Medicine - Pain Medicine | 22923 (South Carolina) | Secondary |
Entity Name | Firstchoice Healthcare Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912001264 PECOS PAC ID: 3476467630 Enrollment ID: O20031113000212 |
Mailing Address | Practice Location Address |
---|---|
Charles Ray Mitchell, MD Po Box 484, Easley, SC 29641-0484 Ph: (864) 546-4497 | Charles Ray Mitchell, MD 25 Airpark Ct, Greenville, SC 29607-6188 Ph: (864) 546-4497 |
David Markus Diamant, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 877 W Faris Rd Ste B, Greenville, SC 29605 Phone: 864-522-6225 Fax: 864-522-6235 | |
Makayla Swygert, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 877 W Faris Rd, Greenville, SC 29605 Phone: 864-455-9022 Fax: 864-455-9082 | |
Michael James Poinsette, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 25 Creekview Ct, Greenville, SC 29615 Phone: 864-522-6300 Fax: 864-522-6305 | |
Steven M Newman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Cross Park Ct, Greenville, SC 29605 Phone: 864-271-9773 Fax: 864-271-1151 | |
Dr. Fariha Batool Sultan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 255 Enterprise Blvd Ste 101, Greenville, SC 29615 Phone: 864-454-8120 Fax: 864-454-8125 | |
Jamie C Goodman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6119 White Horse Rd Ste 14, Greenville, SC 29611 Phone: 864-614-7001 | |
Laura Colleen Nall, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11402 Anderson Rd, Suite A, Greenville, SC 29611 Phone: 864-631-2799 Fax: 864-631-2795 |