Jordan M Spencer, DO | |
171 Ashley Ave, Charleston, SC 29425-0100 | |
(843) 792-0192 | |
Not Available |
Full Name | Jordan M Spencer |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 171 Ashley Ave, Charleston, 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 |
---|---|---|---|
1851886782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | LL52045 (South Carolina) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 52045 (South Carolina) | Primary |
Entity Name | Axis Healthcare Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326295098 PECOS PAC ID: 1254409550 Enrollment ID: O20120919000403 |
Mailing Address | Practice Location Address |
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Jordan M Spencer, DO 67 President St, Charleston, SC 29425-5712 Ph: () - | Jordan M Spencer, DO 171 Ashley Ave, Charleston, SC 29425-0100 Ph: (843) 792-0192 |
Christine Lloyd, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 198 Rutledge Ave, Charleston, SC 29403 Phone: 843-577-5012 Fax: 843-722-8368 | |
Robert Joseph Adams, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 Fax: 843-792-2484 | |
Kevin Michael Gray, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Melanie Anne Lobel, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Billy Beck, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-577-5011 | |
Ciara Monet Styles, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 67 President St, Charleston, SC 29425 Phone: 843-792-9888 | |
Alexandra Goslow, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 67 President St, Charleston, SC 29425 Phone: 843-792-9888 |