David Lee Shallcross, MD | |
111 Doctors Dr, Greenville, SC 29605-5608 | |
(864) 797-7100 | |
(864) 797-7105 |
Full Name | David Lee Shallcross |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 111 Doctors Dr, 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 |
---|---|---|---|
1962466276 | NPI | - | NPPES |
APPROVED | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 15001 (South Carolina) | Primary |
Entity Name | Prisma Health University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Mailing Address | Practice Location Address |
---|---|
David Lee Shallcross, MD 1 Independence Pt, Ste 212, Greenville, SC 29615-4536 Ph: (864) 797-6044 | David Lee Shallcross, MD 111 Doctors Dr, Greenville, SC 29605-5608 Ph: (864) 797-7100 |
Eleasa Marie Hulon, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7882 | |
Dr. Jennifer P. Martin, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 35 International Dr, Greenville, SC 29615 Phone: 864-234-7654 Fax: 864-675-1657 | |
Sam B Parimi, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 27 Creekview Court, Greenville, SC 29615 Phone: 864-627-4032 Fax: 864-627-4035 | |
Tamara I Fatianov, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 877 W Faris Rd, Suite D, Greenville, SC 29605 Phone: 864-455-8001 Fax: 864-455-8800 | |
Rebecca Elayne Holdren, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 111 Doctors Dr, Greenville, SC 29605 Phone: 864-797-7100 Fax: 864-797-7105 | |
Dr. Byung Hun Choe, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 27 Creekview Ct, Greenville, SC 29615 Phone: 864-627-4032 Fax: 864-627-4035 | |
Makayla Anne Gardner, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1320 Hampton Avenue Ext Ste 11b, Greenville, SC 29601 Phone: 864-900-2975 |