Roman Peele Blount Iv, | |
1846 Dutch Fork Rd, Irmo, SC 29063-8830 | |
(803) 781-5200 | |
Not Available |
Full Name | Roman Peele Blount Iv |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1846 Dutch Fork Rd, Irmo, 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 |
---|---|---|---|
1003496720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | BLOU-LA8994 (North Carolina) | Secondary |
207Q00000X | Family Medicine | 92561 (South Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
Roman Peele Blount Iv, Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 791-2203 | Roman Peele Blount Iv, 1846 Dutch Fork Rd, Irmo, SC 29063-8830 Ph: (803) 781-5200 |
Dianna Lyn Neal, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050 | |
Rachel L. Callis-wolfe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1846 Dutch Fork Road, Irmo, SC 29063 Phone: 803-781-5200 Fax: 803-781-3843 | |
Dr. Sean Douglas Fuller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050 | |
Dr. Michael L Nunnery, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1846 Dutch Fork Rd, Irmo, SC 29063 Phone: 803-781-5200 Fax: 803-781-3843 | |
Dr. Sarah Marie Schumacher, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 7430 College St, Irmo, SC 29063 Phone: 803-274-6263 Fax: 803-973-6636 | |
Dr. William J Fravel Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1846 Dutch Fork Rd, Irmo, SC 29063 Phone: 803-781-5200 Fax: 803-781-3843 |