Raven V Delgado, MD | |
701 Medical Park Dr Ste 207, Hartsville, SC 29550-4778 | |
(843) 383-7350 | |
(843) 332-9229 |
Full Name | Raven V Delgado |
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Gender | Female |
Speciality | Pediatrics |
Location | 701 Medical Park Dr Ste 207, Hartsville, 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 |
---|---|---|---|
1184187825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MMD.88525.MD (South Carolina) | Primary |
Entity Name | Hartsville Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598995300 PECOS PAC ID: 7012062714 Enrollment ID: O20090902000027 |
Mailing Address | Practice Location Address |
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Raven V Delgado, MD 701 Medical Park Dr Ste 207, Hartsville, SC 29550-4778 Ph: (843) 383-7350 | Raven V Delgado, MD 701 Medical Park Dr Ste 207, Hartsville, SC 29550-4778 Ph: (843) 383-7350 |
Marian G. Japitana Bunnell, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 906 W Carolina Ave, Hartsville, SC 29550 Phone: 843-332-6645 | |
Dr. Solomon Budhram, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 906 W Carolina Ave, Hartsville, SC 29550 Phone: 843-332-6645 Fax: 843-332-9894 | |
Dr. James Oscar Morphis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 708 Medical Park Dr, Hartsville, SC 29550 Phone: 843-332-5121 Fax: 843-332-0993 | |
Dr. Elizabeth Johnson Morphis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 708 Medical Park Dr, Hartsville, SC 29550 Phone: 843-332-5121 Fax: 843-332-0993 | |
Dr. Joni Sue Ovanna Budhram, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 Medical Park Dr, Suite 108, Hartsville, SC 29550 Phone: 843-332-6645 Fax: 843-332-9229 |