Noman Ghiasi, MD | |
3817 Main St, Loris, SC 29569-3017 | |
(843) 663-8000 | |
(843) 663-8166 |
Full Name | Noman Ghiasi |
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Gender | Male |
Speciality | Family Medicine |
Location | 3817 Main St, Loris, 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 |
---|---|---|---|
1083242960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 84017 (South Carolina) | Primary |
Entity Name | Family Health Centers, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144248451 PECOS PAC ID: 2860305075 Enrollment ID: O20031112000393 |
Entity Name | Colonial Family Practice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518074640 PECOS PAC ID: 9931017118 Enrollment ID: O20040727000107 |
Entity Name | Prisma Health Urgent Care Of South Carolina Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851000855 PECOS PAC ID: 1254703788 Enrollment ID: O20230210000249 |
Mailing Address | Practice Location Address |
---|---|
Noman Ghiasi, MD Po Box 547, Little River, SC 29566-0547 Ph: (843) 663-8000 | Noman Ghiasi, MD 3817 Main St, Loris, SC 29569-3017 Ph: (843) 663-8000 |
Andrew J.r. Sejan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3418 Casey St, Loris, SC 29569 Phone: 843-756-7885 Fax: 843-756-7855 | |
Dr. Shannon Smith Tiebout, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3418 Casey St, Loris, SC 29569 Phone: 843-756-7885 Fax: 843-756-7855 | |
Brian James Thacker, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3418 Casey St, Loris, SC 29569 Phone: 843-756-7885 Fax: 843-756-7855 | |
Dr. James N Moore Iii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3655 Mitchell St, Loris, SC 29569 Phone: 843-716-7000 | |
Twyla Cummings, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3817 Main St, Loris, SC 29569 Phone: 843-806-2601 | |
Timothy C Mills, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3418 Casey St, Loris, SC 29569 Phone: 843-756-7885 Fax: 843-756-7855 |