| Robert Joseph Healy Md Pa | |
|
805 Pamplico Hwy Suite A130 Florence SC 29505-6019 | |
| (843) 664-9200 | |
| (843) 664-9202 |
| Full Name | Robert Joseph Healy Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 805 Pamplico Hwy, Florence, South Carolina |
| Authorized Official Name and Position | Robert Joseph Healy (OWNER) |
| Authorized Official Contact | 8436649200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Joseph Healy Md Pa 805 Pamplico Hwy Suite A130 Florence SC 29505-6019 Ph: (843) 664-9200 | Robert Joseph Healy Md Pa 805 Pamplico Hwy Suite A130 Florence SC 29505-6019 Ph: (843) 664-9200 |
| NPI Number | 1366631640 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 07/08/2008 |
| Medicare PECOS PAC ID | 4789643735 |
|---|---|
| Medicare Enrollment ID | O20041006000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366631640 | NPI | - | NPPES |
| PC4802 | Medicaid | SC | |
| 130002489 | Other | SC | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 11178 (South Carolina) | Primary |
| Provider Name | Robert Joseph Healy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164400123 PECOS PAC ID: 0042279093 Enrollment ID: I20050510000671 |
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