Sandra R Love, MD | |
877 W Faris Rd, Suite D, Greenville, SC 29605-4254 | |
(864) 455-9050 | |
(864) 455-9017 |
Full Name | Sandra R Love |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 877 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 |
---|---|---|---|
1518913896 | NPI | - | NPPES |
576007863063 | Other | SC | BCBS OF SC |
165519 | Medicaid | SC | |
5237092 | Other | SC | AETNA |
P00186717 | Other | SC | RR MEDICARE |
576007863063 | Other | SC | BLUE CHOICE OF SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 16551 (South Carolina) | Primary |
Entity Name | Elite Wellness Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619311099 PECOS PAC ID: 8123253218 Enrollment ID: O20131025001211 |
Mailing Address | Practice Location Address |
---|---|
Sandra R Love, MD One Independence Pointe, Suite 212, Greenville, SC 29615-4566 Ph: (864) 797-6044 | Sandra R Love, MD 877 W Faris Rd, Suite D, Greenville, SC 29605-4254 Ph: (864) 455-9050 |
Hilary Lauren Knippers, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 876 W Faris Rd, Greenville, SC 29605 Phone: 864-455-5648 | |
Abdullah Darvesh, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7882 | |
Daniel Ruiz, Internal Medicine Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7882 | |
Rhett Mckey Shirley, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd, Suite 520, Greenville, SC 29605 Phone: 864-455-9033 Fax: 864-455-6559 | |
Mohammad Rashid, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 61 Pointe Cir, Greenville, SC 29615 Phone: 864-286-6960 Fax: 864-286-8710 | |
Benjamin Ellis Rawls, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd Fl 5, Greenville, SC 29605 Phone: 864-455-4411 | |
Alan Robert Thompson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, 5th Floor, Greenville, SC 29605 Phone: 864-455-4411 Fax: 864-455-4480 |