Katherine Joy Atkinson, MD | |
500 N 12th St, West Columbia, SC 29169-6502 | |
(803) 217-0415 | |
(803) 939-1650 |
Full Name | Katherine Joy Atkinson |
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Gender | Female |
Speciality | Pediatrics |
Location | 500 N 12th St, West Columbia, 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 |
---|---|---|---|
1407042476 | NPI | - | NPPES |
302327 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | TL 30232 (South Carolina) | Primary |
Entity Name | Eau Claire Cooperative Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346249430 PECOS PAC ID: 3274434220 Enrollment ID: O20040114000335 |
Mailing Address | Practice Location Address |
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Katherine Joy Atkinson, MD 500 N 12th St, West Columbia, SC 29169-6502 Ph: (803) 217-0415 | Katherine Joy Atkinson, MD 500 N 12th St, West Columbia, SC 29169-6502 Ph: (803) 217-0415 |
Sara Sheehan Wallace, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3240 Sunset Blvd, West Columbia, SC 29169 Phone: 803-359-8855 Fax: 803-794-6480 | |
Amanda Lynn Goodno, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 N 12th St, West Columbia, SC 29169 Phone: 803-217-0415 Fax: 803-939-1650 | |
Larry C Smith Ii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 172 Mcswain Drive, Suite A, West Columbia, SC 29169 Phone: 800-809-1265 Fax: 803-771-7782 | |
Dr. Sharada M Pai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 209 Timber Ridge Dr, West Columbia, SC 29169 Phone: 803-794-5307 | |
Jonathan William Ceral Brock, MD, PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2318a Sunset Blvd, West Columbia, SC 29169 Phone: 803-796-9200 Fax: 803-462-0312 | |
Ronnie W Neuberg, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 112 Saluda Ridge Ct Ste 200, West Columbia, SC 29169 Phone: 803-794-0200 Fax: 803-794-0404 |