Adesuwa Igbinedion, MD | |
124 Professional Park Dr, Ste A, Conway, SC 29526-9260 | |
(843) 234-8788 | |
(843) 234-8787 |
Full Name | Adesuwa Igbinedion |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 124 Professional Park Dr, Conway, 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 |
---|---|---|---|
1851525745 | NPI | - | NPPES |
910553 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 91055 (South Carolina) | Primary |
Entity Name | Hardin County Regional Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184676157 PECOS PAC ID: 3779490776 Enrollment ID: O20040430000116 |
Mailing Address | Practice Location Address |
---|---|
Adesuwa Igbinedion, MD 300 Singleton Ridge Rd, Attention Pns Credentialing, Conway, SC 29526-9142 Ph: (843) 234-6946 | Adesuwa Igbinedion, MD 124 Professional Park Dr, Ste A, Conway, SC 29526-9260 Ph: (843) 234-8788 |
Danika Lauren Alexander Borden, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Singleton Ridge Rd Ofc, Conway, SC 29526 Phone: 843-347-7111 | |
Ashwin Attiguppam Mallikarjun, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1608 Main St, Conway, SC 29526 Phone: 843-248-4700 Fax: 843-248-3145 | |
Mrs. Isabella Andrea Vallenilla Gallardo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-7111 | |
Dr. Stephen Alexander Corontzes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-9099 Fax: 843-347-9029 | |
Dr. Lina Abdelmajid Hajar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 243 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-248-4700 | |
Eugenia Gainzeo Cooper-merchant, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Professional Park Dr, Conway, SC 29526 Phone: 843-234-0005 | |
Krystin Monet Jack, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-234-5139 |