Mrs Carolyn Carroll Mitchell Waiboer, NP-C | |
1028 N Church St, Greenville, SC 29601-1639 | |
(864) 271-1464 | |
Not Available |
Full Name | Mrs Carolyn Carroll Mitchell Waiboer |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 1028 N Church St, Greenville, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992240394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 20580 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Carolina Dept Of Mental Health Accounting Office | 9032021175 | 162 |
Entity Name | South Carolina Dept Of Mental Health Accounting Office |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295332690 PECOS PAC ID: 9032021175 Enrollment ID: O20031107000041 |
Mailing Address | Practice Location Address |
---|---|
Mrs Carolyn Carroll Mitchell Waiboer, NP-C 105 Half Mile Pl, Greenville, SC 29609-1500 Ph: (864) 901-6788 | Mrs Carolyn Carroll Mitchell Waiboer, NP-C 1028 N Church St, Greenville, SC 29601-1639 Ph: (864) 271-1464 |
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