Yumeng Li, | |
808 Farrar Dr, Conway, SC 29526-8747 | |
(843) 234-8700 | |
(843) 234-8689 |
Full Name | Yumeng Li |
---|---|
Gender | Female |
Speciality | Dermatology - Mohs-micrographic Surgery |
Location | 808 Farrar Dr, Conway, 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 |
---|---|---|---|
1417319617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZD0900X | Pathology - Dermatopathology | 87118 (South Carolina) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | 87118 (South Carolina) | Primary |
Entity Name | Conway Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134172000 PECOS PAC ID: 7113839606 Enrollment ID: O20031201000111 |
Mailing Address | Practice Location Address |
---|---|
Yumeng Li, 300 Singleton Ridge Rd, Attn Pns Credentialing, Conway, SC 29526-9142 Ph: (843) 234-6946 | Yumeng Li, 808 Farrar Dr, Conway, SC 29526-8747 Ph: (843) 234-8700 |
Fabrizio V Galimberti, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 808 Farrar Dr, Conway, SC 29526 Phone: 843-234-8700 Fax: 843-234-8689 | |
Ashleigh Lynn Kinon, FNP Dermatology Medicare: Accepting Medicare Assignments Practice Location: 166 Waccamaw Medical Park Ct, Conway, SC 29526 Phone: 843-449-0453 Fax: 843-449-9531 |