Richard Brian Lawdahl, MD | |
1210 W Faris Rd, Greenville, SC 29605-4444 | |
(864) 295-4410 | |
Not Available |
Full Name | Richard Brian Lawdahl |
---|---|
Gender | Male |
Speciality | Radiology - Vascular & Interventional Radiology |
Location | 1210 W Faris Rd, 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 |
---|---|---|---|
1871564641 | NPI | - | NPPES |
P00821906 | Other | SC | RAILROAD MEDICARE |
138292 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 13829 (South Carolina) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 13829 (South Carolina) | Primary |
Entity Name | Greenville Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
Entity Name | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568799955 PECOS PAC ID: 8325950983 Enrollment ID: O20040108000041 |
Mailing Address | Practice Location Address |
---|---|
Richard Brian Lawdahl, MD 1 Independence Pt Ste 212, Greenville, SC 29615-4536 Ph: (864) 797-6303 | Richard Brian Lawdahl, MD 1210 W Faris Rd, Greenville, SC 29605-4444 Ph: (864) 295-4410 |
Bonnie Louise Anderson, MD Radiology Medicare: Medicare Enrolled Practice Location: 1210 W Faris Rd, Greenville, SC 29605 Phone: 864-295-4410 Fax: 864-295-5694 | |
Dr. Douglas Middleton Bull, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1210 W Faris Rd, Greenville, SC 29605 Phone: 864-522-1800 Fax: 864-522-1806 | |
Dr. Mark R Jackson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Francis Dr, Suite 330, Greenville, SC 29601 Phone: 864-255-1834 Fax: 864-255-1836 | |
Dr. Michael Franklin Brinkley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1210 W Faris Rd, Greenville, SC 29605 Phone: 864-522-1800 Fax: 864-522-1806 | |
Matthew Timothy Graham, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Francis Dr Ste 360, Greenville, SC 29601 Phone: 864-233-4349 Fax: 877-417-0311 | |
Dr. Michael David Zurenko, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 65 International Dr, Greenville, SC 29615 Phone: 864-987-7000 Fax: 864-987-7020 | |
Leighton Chase Allen Jr., MD Radiology Medicare: Medicare Enrolled Practice Location: 1210 W Faris Rd, Greenville, SC 29605 Phone: 864-522-1800 Fax: 864-522-1806 |