Oliver Perry Earle Iv, MD | |
890 South Cleveland Street, Greenville, SC 29607-2492 | |
(864) 271-1450 | |
(864) 271-3914 |
Full Name | Oliver Perry Earle Iv |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 890 South Cleveland Street, Greenville, 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 |
---|---|---|---|
1275576449 | NPI | - | NPPES |
57-1004971003 | Other | SC | BCBS OF SC |
230823 | Medicaid | SC | |
7540519 | Other | SC | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 23082 (South Carolina) | Primary |
Entity Name | Prisma Health University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Mailing Address | Practice Location Address |
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Oliver Perry Earle Iv, MD 1 Independence Pt, Suite 212, Greenville, SC 29615-4545 Ph: (864) 797-6044 | Oliver Perry Earle Iv, MD 890 South Cleveland Street, Greenville, SC 29607-2492 Ph: (864) 271-1450 |
Angela Murray Young, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20 Medical Ridge Dr, Greenville, SC 29605 Phone: 864-864-2207 Fax: 864-241-9211 | |
Mata Adams, Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7895 | |
Dominic Bruno Gault, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Patewood Dr, Ste A330, Greenville, SC 29615 Phone: 864-454-5660 Fax: 864-241-9233 | |
Anna Mezey Brownstein, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20 Medical Ridge Dr, Greenville, SC 29605 Phone: 864-220-7270 Fax: 864-241-9211 | |
Dr. Cristina Espindula Fernandes, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 900 W Faris Rd, 2nd Floor, Greenville, SC 29605 Phone: 864-455-8898 Fax: 864-455-5164 | |
Mrs. Linda S Parker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 131 Commonwealth Dr, Suite 310, Greenville, SC 29615 Phone: 864-288-5402 Fax: 864-234-7961 | |
Justin Brantley Holladay, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7844 Fax: 864-455-7848 |