Glen N Dougherty Jr, MD | |
2001 Laurel St, Columbia, SC 29204-1018 | |
(803) 254-3278 | |
(803) 929-3256 |
Full Name | Glen N Dougherty Jr |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 24 Years |
Location | 2001 Laurel St, Columbia, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720021553 | NPI | - | NPPES |
287344 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 28734 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Health | Columbia, SC | Hospital |
Musc Medical Center | Charleston, SC | Hospital |
Kershawhealth | Camden, SC | Hospital |
Lexington Medical Center | West columbia, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Musc Community Physicians | 6507260668 | 793 |
Entity Name | Providence Group Practices Ii Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396192001 PECOS PAC ID: 2668768276 Enrollment ID: O20160908000669 |
Entity Name | Musc Community Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
Mailing Address | Practice Location Address |
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Glen N Dougherty Jr, MD Po Box 935722, Atlanta, GA 31193-5722 Ph: (843) 792-6200 | Glen N Dougherty Jr, MD 2001 Laurel St, Columbia, SC 29204-1018 Ph: (803) 254-3278 |
William Cole Andrew, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203 Phone: 803-434-8721 | |
Seetharamprasad Madala, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1801 Sunset Dr, Columbia, SC 29203 Phone: 803-434-4153 Fax: 803-434-4160 | |
Michael Martin, Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2 Medical Park Rd, Columbia, SC 29203 Phone: 803-434-6956 | |
Dr. Terry A Grainger, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203 Phone: 803-434-3800 Fax: 803-744-2759 | |
Dr. Adelero Olayinka Adebajo, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1520 Laurel St, Columbia, SC 29201 Phone: 803-799-8407 Fax: 803-252-9070 | |
James Pratt Iii, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1801 Sunset Dr, Columbia, SC 29203 Phone: 803-434-4153 | |
Jeff Z Brooker Jr., MD, RETIRED Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1625 Bernardin Ave, Columbia, SC 29204 Phone: 803-251-8985 |