John Scott Stadalsky, MD | |
105 Springhall Dr, Goose Creek, SC 29445-5370 | |
(843) 766-6308 | |
(866) 533-4473 |
Full Name | John Scott Stadalsky |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 105 Springhall Dr, Goose Creek, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699720250 | NPI | - | NPPES |
T83086 | Medicaid | SC | |
571020809007 | Other | SC | BCBS SC |
571020809042 | Other | SC | TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 24015 (South Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
John Scott Stadalsky, MD 1871 Savage Rd, Charleston, SC 29407-4726 Ph: (843) 531-9961 | John Scott Stadalsky, MD 105 Springhall Dr, Goose Creek, SC 29445-5370 Ph: (843) 766-6308 |
Ms. Zoe Kleckner Pogue, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 99 Bridgetown Rd, Goose Creek, SC 29445 Phone: 843-572-3300 Fax: 843-797-3331 | |
Thomas Plyler Hamilton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 105 Springhall Dr, Goose Creek, SC 29445 Phone: 843-766-6308 Fax: 866-533-4473 | |
Dr. Christine Marie Suarez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 99 Bridgetown Rd, Goose Creek, SC 29445 Phone: 843-572-3300 Fax: 833-771-2207 | |
Anna Harper Tucker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 Springhall Dr, Goose Creek, SC 29445 Phone: 843-766-6308 Fax: 866-533-4473 |