Dr Alexander Dix Soutter, MD | |
295a Midland Pkwy Ste 120, Summerville, SC 29485-5901 | |
(843) 695-2700 | |
(843) 875-4046 |
Full Name | Dr Alexander Dix Soutter |
---|---|
Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 295a Midland Pkwy Ste 120, Summerville, 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 |
---|---|---|---|
1629096763 | NPI | - | NPPES |
512831 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | 51283 (South Carolina) | Primary |
Entity Name | Coastal Carolina Multispecialty Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518079102 PECOS PAC ID: 9931105046 Enrollment ID: O20061012000646 |
Mailing Address | Practice Location Address |
---|---|
Dr Alexander Dix Soutter, MD 295a Midland Pkwy Ste 120, Summerville, SC 29485-5901 Ph: (843) 695-2700 | Dr Alexander Dix Soutter, MD 295a Midland Pkwy Ste 120, Summerville, SC 29485-5901 Ph: (843) 695-2700 |
Dr. Michael Michel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 109 Burton Ave, Suite E, Summerville, SC 29485 Phone: 843-875-8994 | |
Dr. Rebecca Burnham, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 295a Midland Pkwy Ste 260, Summerville, SC 29485 Phone: 843-875-8994 | |
Dr. Michael Logan Rawlins, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 295a Midland Pkwy Ste 260, Summerville, SC 29485 Phone: 843-875-8994 Fax: 843-875-8981 | |
Dr. John Clayton Crantford, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 102 W 8th North St Ste B, Summerville, SC 29483 Phone: 843-471-1135 Fax: 800-919-5720 | |
Dennis Kenneth Schimpf, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 102 W 8th North St, Summerville, SC 29483 Phone: 843-471-1135 | |
Dr. Craig Ashley Blum, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 102 W 8th North St Ste B, Summerville, SC 29483 Phone: 843-471-1135 | |
Dr. Henry C West, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Callen Blvd Ste 330, Summerville, SC 29486 Phone: 854-529-3001 |