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 |
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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 |