Dr Joseph West, MD | |
30 Halter Dr, Powdersville, SC 29673-6741 | |
(864) 272-0388 | |
Not Available |
Full Name | Dr Joseph West |
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Gender | Male |
Speciality | Pediatrics |
Location | 30 Halter Dr, Powdersville, 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 |
---|---|---|---|
1861503146 | NPI | - | NPPES |
RHC188 | Other | SC | RURAL HEALTH CLINIC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 10366 (South Carolina) | Primary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
Entity Name | Carolina Family Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627 |
Entity Name | Moncks Corner Pediatrics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003070103 PECOS PAC ID: 5597824797 Enrollment ID: O20090423000571 |
Entity Name | Musc Affiliate Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548849482 PECOS PAC ID: 6305241027 Enrollment ID: O20210818002996 |
Mailing Address | Practice Location Address |
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Dr Joseph West, MD 525 Verdae Blvd Ste 200, Greenville, SC 29607-4021 Ph: (864) 272-0388 | Dr Joseph West, MD 30 Halter Dr, Powdersville, SC 29673-6741 Ph: (864) 272-0388 |
Dr. Sarah Elizabeth Evins, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Halter Dr, Powdersville, SC 29673 Phone: 864-272-0388 Fax: 864-213-9237 |