Corey K Crain, MD | |
1721 Ebenezer Rd Ste 175, Rock Hill, SC 29732-1188 | |
(803) 324-5256 | |
(803) 328-0440 |
Full Name | Corey K Crain |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1721 Ebenezer Rd Ste 175, Rock Hill, 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 |
---|---|---|---|
1477661197 | NPI | - | NPPES |
123716 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 12371 (South Carolina) | Primary |
Entity Name | Surgical Specialists Of Charlotte Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073599734 PECOS PAC ID: 3779519285 Enrollment ID: O20150527001094 |
Mailing Address | Practice Location Address |
---|---|
Corey K Crain, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (803) 324-5256 | Corey K Crain, MD 1721 Ebenezer Rd Ste 175, Rock Hill, SC 29732-1188 Ph: (803) 324-5256 |
Dr. Kamran Borhanian, MD Surgery Medicare: Medicare Enrolled Practice Location: 200 S. Herlong Ave., Suite G, Rock Hill, SC 29732 Phone: 803-909-6300 Fax: 803-909-6310 | |
Dr. Joliette Nicole Grace, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Herlong Ave S Ste G, Rock Hill, SC 29732 Phone: 803-909-6300 Fax: 803-909-6310 | |
Dr. Shamly Venus Dhiman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1721 Ebenezer Rd, Suite 175, Rock Hill, SC 29732 Phone: 803-324-5256 Fax: 803-328-0440 | |
Dr. Manthan Dipak Makadia, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1721 Ebenezer Rd Ste 175, Rock Hill, SC 29732 Phone: 804-324-5256 | |
Dr. Christopher W Schroeder, MD Surgery Medicare: Medicare Enrolled Practice Location: 1721-07 Ebenezer Road, Suite 175, Rock Hill, SC 29732 Phone: 803-324-5256 Fax: 803-328-0440 | |
Dr. Robert D Randall Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1665 Herlong Ct, Suite A, Rock Hill, SC 29732 Phone: 803-329-8500 Fax: 803-329-8511 |