Mary Bosque-hamilton, | |
209 Kings Mountain St, Clover, SC 29710-1213 | |
(562) 210-6960 | |
Not Available |
Full Name | Mary Bosque-hamilton |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 209 Kings Mountain St, Clover, 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 |
---|---|---|---|
1649985854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F01230824 (South Carolina) | Primary |
Entity Name | Sahaj Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023742327 PECOS PAC ID: 1557744760 Enrollment ID: O20220822002009 |
Mailing Address | Practice Location Address |
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Mary Bosque-hamilton, 209 Kings Mountain St, Clover, SC 29710-1213 Ph: (562) 210-6960 | Mary Bosque-hamilton, 209 Kings Mountain St, Clover, SC 29710-1213 Ph: (562) 210-6960 |
Ms. Charlotte Anne Gott, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 980 Colleton Meadow Dr, Clover, SC 29710 Phone: 704-616-9747 | |
Kristen Cole, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1570 Thatcher Xing, Clover, SC 29710 Phone: 843-729-9138 Fax: 843-790-1883 | |
Sandra Defalco, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4724 Charlotte Hwy, Clover, SC 29710 Phone: 866-389-2727 | |
Tameika Hunter, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4724 Charlotte Hwy, Clover, SC 29710 Phone: 866-389-2727 | |
Mrs. Sara Marie Lightsey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4724 Charlotte Hwy, Clover, SC 29710 Phone: 803-831-1911 | |
Erin Ashley Bolin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 207 Church St, Clover, SC 29710 Phone: 803-222-3063 | |
Virginie Padmore, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4724 Charlotte Hwy, Clover, SC 29710 Phone: 866-389-2727 |