Dr Douglas L Tiedt, MD | |
1370 W Meeting St, Lancaster, SC 29720-2222 | |
(803) 286-6997 | |
(803) 283-3999 |
Full Name | Dr Douglas L Tiedt |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 1370 W Meeting St, Lancaster, 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 |
---|---|---|---|
1912951476 | NPI | - | NPPES |
135963 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 13596 (South Carolina) | Primary |
Entity Name | Medical University Hospital Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255305876 PECOS PAC ID: 1557268950 Enrollment ID: O20031215000499 |
Entity Name | Carolina Family Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627 |
Entity Name | Musc Community Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas L Tiedt, MD Po Box 1897, Lancaster, SC 29721-1897 Ph: (803) 286-6997 | Dr Douglas L Tiedt, MD 1370 W Meeting St, Lancaster, SC 29720-2222 Ph: (803) 286-6997 |
Mr. Richard E Townsend, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 834 West Meeting Street, Suite B, Lancaster, SC 29720 Phone: 803-286-4405 Fax: 803-286-8487 | |
John Thomas Smith, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 834 W Meeting St Bldg 4, Suite E, Lancaster, SC 29720 Phone: 803-285-5900 | |
Trevor George Robinson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 800 W Meeting St, Lancaster, SC 29720 Phone: 843-792-1414 | |
Dr. William Boatwright Harris Jr., MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 834 W Meeting St Ste E, Lancaster, SC 29720 Phone: 803-285-5900 Fax: 803-285-5909 | |
Nancy L. Burleson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 834 W Meeting St Ste E, Lancaster, SC 29720 Phone: 803-285-5900 |