Dr Allyson W Moulton, MD | |
2 Medical Park Rd Ste 306, Columbia, SC 29203-6839 | |
(803) 256-2657 | |
Not Available |
Full Name | Dr Allyson W Moulton |
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Gender | Female |
Speciality | Surgery |
Location | 2 Medical Park Rd Ste 306, Columbia, 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 |
---|---|---|---|
1366619132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 0116020110 (Virginia) | Secondary |
208600000X | Surgery | LL34981 (South Carolina) | Secondary |
208600000X | Surgery | E8287 (Arkansas) | Primary |
Entity Name | Fort Smith Hma Pbc Management Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477888907 PECOS PAC ID: 8224172127 Enrollment ID: O20100216000383 |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190913002365 |
Mailing Address | Practice Location Address |
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Dr Allyson W Moulton, MD 923 Lexington Ave, Fort Smith, AR 72901-4943 Ph: (479) 709-7350 | Dr Allyson W Moulton, MD 2 Medical Park Rd Ste 306, Columbia, SC 29203-6839 Ph: (803) 256-2657 |
Michael David Tichenor, MD Surgery Medicare: Medicare Enrolled Practice Location: Surgery Clinic, 1801 Sunset Drive, Columbia, SC 29203 Phone: 803-434-4166 Fax: 803-434-4183 | |
Ms. Taylor C Dieter, DNP, NP-C Surgery Medicare: Accepting Medicare Assignments Practice Location: 220 Graces Way, Columbia, SC 29229 Phone: 180-373-64560 | |
David Deaton, Surgery Medicare: Medicare Enrolled Practice Location: 2 Medical Park Rd Ste 300, Columbia, SC 29203 Phone: 803-545-5800 Fax: 803-254-0821 | |
Dr. Ginger Lynne Manos, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3 Richland Medical Park Dr Ste 330, Columbia, SC 29203 Phone: 803-434-7100 Fax: 803-434-6889 | |
Dr. William Mciver Leppard, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2750 Laurel St Ste 200, Columbia, SC 29204 Phone: 803-409-7130 Fax: 803-252-8280 | |
Dalton Shuler Prickett, M.D. F.A.C.S. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1850 Laurel St, Columbia, SC 29201 Phone: 803-256-3400 Fax: 803-256-2039 | |
Dr. David Douglas Moffat Ii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1850 Laurel St Ste 1a, Columbia, SC 29201 Phone: 803-376-5982 Fax: 803-376-5987 |