Sital Jethwa, | |
704 Gold Hill Rd, Suite 207, Fort Mill, SC 29715-8906 | |
(803) 802-5900 | |
Not Available |
Full Name | Sital Jethwa |
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Gender | Female |
Speciality | Pediatrics |
Location | 704 Gold Hill Rd, Fort Mill, 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 |
---|---|---|---|
1942591565 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 37430 (South Carolina) | Secondary |
208000000X | Pediatrics | 2017-01892 (North Carolina) | Primary |
Entity Name | Goshen Medical Center Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023424686 PECOS PAC ID: 3173434479 Enrollment ID: O20040102000726 |
Mailing Address | Practice Location Address |
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Sital Jethwa, 704 Gold Hill Rd, Fort Mill, SC 29715-8906 Ph: () - | Sital Jethwa, 704 Gold Hill Rd, Suite 207, Fort Mill, SC 29715-8906 Ph: (803) 802-5900 |
Patricia Tonkowicz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 704 Gold Hill Rd, Suite 207, Fort Mill, SC 29715 Phone: 803-802-5900 | |
Laura Ann Pagnotta, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 704 Gold Hill Rd, Ste 207, Fort Mill, SC 29715 Phone: 803-802-5900 | |
Ms. Samantha Anne Molony, LAT, ATC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1400 A O Jones Blvd, Fort Mill, SC 29715 Phone: 803-835-0024 | |
Nikita W. Lindsay, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 704 Gold Hill Rd, Ste 207, Fort Mill, SC 29715 Phone: 803-802-5900 | |
Dr. Mildred Anne Kinghorn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22137 East Tern Court, Fort Mill, SC 29715 Phone: 843-295-1315 | |
Benjamin Wesley Benzing, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 704 Gold Hill Rd, Ste 207, Fort Mill, SC 29715 Phone: 803-802-5900 | |
Dexter Cook Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 704 Gold Hill Rd, Suite 207, Fort Mill, SC 29715 Phone: 803-802-5900 |