Dr Lawrence Soderstrom, MD | |
218 S Herlong Ave, Rock Hill, SC 29732-1158 | |
(803) 327-2828 | |
(803) 329-1173 |
Full Name | Dr Lawrence Soderstrom |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 218 S Herlong Ave, Rock Hill, 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 |
---|---|---|---|
1508890997 | NPI | - | NPPES |
PA2363 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 22807 (South Carolina) | Primary |
Entity Name | Rock Hill Radiology Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972546133 PECOS PAC ID: 8527026517 Enrollment ID: O20041222000087 |
Mailing Address | Practice Location Address |
---|---|
Dr Lawrence Soderstrom, MD 218 S Herlong Ave, Rock Hill, SC 29732-1158 Ph: (803) 327-2828 | Dr Lawrence Soderstrom, MD 218 S Herlong Ave, Rock Hill, SC 29732-1158 Ph: (803) 327-2828 |
Gregory Allen Jones, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 222 Herlong Ave S, Rock Hill, SC 29732 Phone: 803-329-1234 Fax: 864-987-1611 | |
Lisa T Sayle, Radiology Medicare: Not Enrolled in Medicare Practice Location: 218 South Herlong Ave, Rock Hill, SC 29732 Phone: 803-327-2828 Fax: 803-985-4775 | |
Dr. Geoffrey T Gilleland, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 218 S Herlong Ave, Rock Hill, SC 29732 Phone: 803-327-2828 Fax: 803-329-1173 | |
Dr. Robert Salman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 218 S Herlong Ave, Rock Hill, SC 29732 Phone: 803-327-2828 Fax: 803-329-1173 | |
Dr. Mark Matthews, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 218 S Herlong Ave, Rock Hill, SC 29732 Phone: 803-327-2828 Fax: 803-329-1173 | |
Dr. Howard Snyder, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 218 S Herlong Ave, Rock Hill, SC 29732 Phone: 803-327-2828 Fax: 803-329-1173 |