Mitchell Joseph Isaac, MD | |
620 Singleton Ridge Rd, Conway, SC 29526-9154 | |
(843) 347-7300 | |
(843) 347-8459 |
Full Name | Mitchell Joseph Isaac |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 620 Singleton Ridge Rd, Conway, 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 |
---|---|---|---|
1790213973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | LL41136 (South Carolina) | Secondary |
207Y00000X | Otolaryngology | 41136 (South Carolina) | Primary |
Entity Name | Conway Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134172000 PECOS PAC ID: 7113839606 Enrollment ID: O20031201000111 |
Mailing Address | Practice Location Address |
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Mitchell Joseph Isaac, MD 300 Singleton Ridge Rd, Attn Pns Credentialing, Conway, SC 29526-9142 Ph: (843) 234-6946 | Mitchell Joseph Isaac, MD 620 Singleton Ridge Rd, Conway, SC 29526-9154 Ph: (843) 347-7300 |
Dr. Miranda Colletta Horton, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 620 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-7300 Fax: 843-347-8459 | |
Dr. Darin V Sutton, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 620 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-7300 Fax: 843-347-8459 | |
Dr. Peter C Bondy, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 808 Farrar Dr, Conway, SC 29526 Phone: 843-347-7300 Fax: 843-347-8459 | |
Dr. Alicia Ruth Sanderson, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 620 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-7300 Fax: 843-347-8459 |