Samai Supan, MD | |
719 Okatie Hwy # 170, Okatie, SC 29909-3963 | |
(843) 987-7400 | |
(843) 987-5135 |
Full Name | Samai Supan |
---|---|
Gender | Male |
Speciality | Family Medicine - Adult Medicine |
Location | 719 Okatie Hwy # 170, Okatie, 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 |
---|---|---|---|
1861451569 | NPI | - | NPPES |
11283 | Other | SC | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | 11283 (South Carolina) | Primary |
Entity Name | Beaufort Jasper Hampton Comprehensive Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649276148 PECOS PAC ID: 5597675728 Enrollment ID: O20160427001262 |
Mailing Address | Practice Location Address |
---|---|
Samai Supan, MD 154 Spanish Point Dr, Beaufort, SC 29902-6126 Ph: (843) 525-6569 | Samai Supan, MD 719 Okatie Hwy # 170, Okatie, SC 29909-3963 Ph: (843) 987-7400 |
Mary Lafrance Ferguson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 719 Okatie Hwy, Okatie, SC 29909 Phone: 843-987-7400 Fax: 843-987-7484 | |
Bobbi J Tenwolde, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 719 Okatie Hwy # 170, Okatie, SC 29909 Phone: 843-987-7400 | |
Joseph B Mcshea, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 122 Okatie Center Blvd N Ste 100, Okatie, SC 29909 Phone: 843-706-8840 Fax: 833-314-0430 |