Dr Jeniqua Jefferson Duncan, DO | |
1268 S 4th St, Hartsville, SC 29550-0703 | |
(843) 332-3422 | |
(843) 332-3985 |
Full Name | Dr Jeniqua Jefferson Duncan |
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Gender | Female |
Speciality | Family Medicine |
Location | 1268 S 4th St, Hartsville, 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 |
---|---|---|---|
1316130800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1094 (South Carolina) | Primary |
Entity Name | Caresouth Carolina Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720082571 PECOS PAC ID: 1052221314 Enrollment ID: O20040511000280 |
Mailing Address | Practice Location Address |
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Dr Jeniqua Jefferson Duncan, DO Po Box 1090, Hartsville, SC 29551-1090 Ph: (843) 857-0111 | Dr Jeniqua Jefferson Duncan, DO 1268 S 4th St, Hartsville, SC 29550-0703 Ph: (843) 332-3422 |
William H Long Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 W Carolina Ave, Hartsville, SC 29550 Phone: 843-917-4977 Fax: 843-917-4968 | |
Robert L Elder, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Medical Park Dr, 204, Hartsville, SC 29550 Phone: 843-383-2273 Fax: 843-383-9476 | |
Miss Kelley Marie Moody, NP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 W Carolina Ave, Hartsville, SC 29550 Phone: 843-951-9990 Fax: 843-951-9989 | |
Dr. Joseph Williamson Powell Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Medical Park Dr, Suite 305, Hartsville, SC 29550 Phone: 843-777-2800 Fax: 843-777-2808 | |
Dr. Jacob Elidge Enterkin, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550 Phone: 843-339-4790 | |
Gary Barker, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1268 S 4th St, Hartsville, SC 29550 Phone: 843-332-3422 |