Alinda Pauline King-benjamin, | |
130 Mountain Maple Ln, Blythewood, SC 29016-7233 | |
(803) 764-4828 | |
(803) 764-4828 |
Full Name | Alinda Pauline King-benjamin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 130 Mountain Maple Ln, Blythewood, 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 |
---|---|---|---|
1902440381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WD1100X | Registered Nurse - Dialysis, Peritoneal | 227265 (South Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 27511 (South Carolina) | Primary |
Entity Name | Medcare Express - North Charleston Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457579617 PECOS PAC ID: 7618074899 Enrollment ID: O20070523000200 |
Mailing Address | Practice Location Address |
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Alinda Pauline King-benjamin, 130 Mountain Maple Ln, Blythewood, SC 29016-7233 Ph: (803) 764-4828 | Alinda Pauline King-benjamin, 130 Mountain Maple Ln, Blythewood, SC 29016-7233 Ph: (803) 764-4828 |
Ms. Carla Shavonne Mckenzie, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 749 S Sage Drop Rd, Blythewood, SC 29016 Phone: 347-276-0901 | |
Delores Holloway, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 314 Heritage Forest Dr, Blythewood, SC 29016 Phone: 843-372-1617 | |
Mrs. Maureen Okwudinma Nwajiaku, MSN,FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Allerton Ct, Blythewood, SC 29016 Phone: 803-318-5616 |