| Dr Joey Edward Roque, MD | |
| 4070 Highway 17, Murrells Inlet, SC 29576-5033 | |
| (843) 652-1415 | |
| (843) 366-4387 | 
| Full Name | Dr Joey Edward Roque | 
|---|---|
| Gender | Male | 
| Speciality | Physical Medicine & Rehabilitation | 
| Location | 4070 Highway 17, Murrells Inlet, 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 | 
|---|---|---|---|
| 1396847448 | NPI | - | NPPES | 
| 81712 | Other | SC | STATE OF SOUTH CAROLINA MEDICAL LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 81712 (South Carolina) | Primary | 
| 208100000X | Physical Medicine & Rehabilitation | 41492 (Tennessee) | Secondary | 
| Entity Name | Fort Sanders Regional Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1942294814 PECOS PAC ID: 9537066428 Enrollment ID: O20040429000650 | 
| Entity Name | Covenant Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Joey Edward Roque, MD Po Box 847, Cordova, TN 38088-0847 Ph: (843) 652-1415 | Dr Joey Edward Roque, MD 4070 Highway 17, Murrells Inlet, SC 29576-5033 Ph: (843) 652-1415 | 
| Mr. Steven Scott Childress Jr., PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 11931 Plaza Dr, Murrells Inlet, SC 29576 Phone: 843-357-4039 | |
| Jessica Kimberlyn Pritchett, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 699 Prince Creek Pkwy, Murrells Inlet, SC 29576 Phone: 843-353-1525 | |
| Jeffrey C. Wilkins, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3938 Highway 17, Murrells Inlet, SC 29576 Phone: 843-299-1451 Fax: 843-979-0086 | |
| Stephen Q. Parker, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3545 Highway 17, Suite 200, Murrells Inlet, SC 29576 Phone: 843-294-1941 Fax: 843-294-1945 | |
| Todd Richard Rowland, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4040 Highway 17, Suite 101, Murrells Inlet, SC 29576 Phone: 843-652-8160 Fax: 843-652-8161 | |
| Mr. Caleb Sims Whitney, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 10800 Sc 707, Murrells Inlet, SC 29576 Phone: 843-650-5600 |