Mack U Lloyd, | |
208 Aldergate Dr, Lexington, SC 29073-9781 | |
(208) 360-2002 | |
Not Available |
Full Name | Mack U Lloyd |
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Gender | Male |
Speciality | Registered Nurse |
Location | 208 Aldergate Dr, Lexington, 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 |
---|---|---|---|
1740857119 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 254424 (South Carolina) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | R54336 (North Dakota) | Secondary |
Entity Name | Intermountain Anesthesia Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558304329 PECOS PAC ID: 5193638781 Enrollment ID: O20040825000367 |
Mailing Address | Practice Location Address |
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Mack U Lloyd, 208 Aldergate Dr, Lexington, SC 29073-9781 Ph: (208) 360-2002 | Mack U Lloyd, 208 Aldergate Dr, Lexington, SC 29073-9781 Ph: (208) 360-2002 |
Beverly A Martin-davis, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 301 Palmetto Pk Blvd, Lexington, SC 29072 Phone: 803-399-9204 | |
Tara Buchanan, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1070 S Lake Dr, Lexington, SC 29073 Phone: 803-429-6718 | |
Kourtnie S Vereen-jules, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2480 Two Notch Rd, Lexington, SC 29072 Phone: 803-951-5871 | |
Joy Renee Autry, RN, CLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 113 E Main St, Lexington, SC 29072 Phone: 803-704-4759 | |
Hope Gambrell, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1070 S Lake Dr Ste B, Lexington, SC 29073 Phone: 803-785-6609 | |
Amanda Burgess, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1070 S Lake Dr, Suite B, Lexington, SC 29073 Phone: 803-785-6625 | |
Mrs. Reba Berry, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1070 S Lake Dr Ste B, Lexington, SC 29073 Phone: 803-360-8266 |