Savannah Williams Micolucci, MD | |
101 Halton Village Cir, Greenville, SC 29607-6825 | |
(864) 455-1600 | |
(834) 286-5298 |
Full Name | Savannah Williams Micolucci |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 101 Halton Village Cir, 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 |
---|---|---|---|
1184118861 | NPI | - | NPPES |
527736 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 52773 (South Carolina) | Primary |
Entity Name | Prisma Health University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Mailing Address | Practice Location Address |
---|---|
Savannah Williams Micolucci, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Savannah Williams Micolucci, MD 101 Halton Village Cir, Greenville, SC 29607-6825 Ph: (864) 455-1600 |
Melisa Marian Holmes, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 890 W Faris Rd, Suite 470, Greenville, SC 29605 Phone: 864-455-1600 | |
Dr. Megan Malone Schellinger, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd, Ste 470, Greenville, SC 29605 Phone: 864-455-1600 Fax: 864-455-3095 | |
John V Dacus, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 890 W Faris Rd Ste 470, Greenville, SC 29605 Phone: 864-455-1600 Fax: 864-455-3095 | |
Lesley B Pickell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd Ste 470, Greenville, SC 29605 Phone: 864-455-1600 Fax: 864-455-3095 | |
Dr. Thomas William Campbell, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1142 Grove Rd, Greenville, SC 29605 Phone: 864-232-1584 Fax: 864-232-1352 | |
John F Van Deman Iii, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 Halton Village Cir, Greenville, SC 29607 Phone: 864-455-1600 | |
Erinn R Morgan, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7887 |