| Mrs Justin Nicole Kernodle, PA-C | |
|
2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | |
| (843) 402-1037 | |
| (843) 402-1295 |
| Full Name | Mrs Justin Nicole Kernodle |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 2095 Henry Tecklenburg Dr, Charleston, 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 |
|---|---|---|---|
| 1477995470 | NPI | - | NPPES |
| 2123PA | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | TL1941 (South Carolina) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 1941 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Justin Nicole Kernodle, PA-C Po Box 602645, Charlotte, NC 28260-2645 Ph: (843) 789-1620 | Mrs Justin Nicole Kernodle, PA-C 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 Ph: (843) 402-1037 |
Amy Lynn Canino, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-402-1638 Fax: 843-724-2455 | |
Elizabeth Poindexter, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Maria Dahl, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2225 Ashley River Rd Apt 378, Charleston, SC 29414 Phone: 704-661-4464 | |
Matthew K Ewald, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Meredith Barb Bauerband, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2180 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 865-647-5800 Fax: 865-647-5979 | |
Jessica Marie Greenwood, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 641 Saint Andrews Blvd, Charleston, SC 29407 Phone: 843-766-9747 | |
Taryn Bentler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 135 Rutledge Ave, Charleston, SC 29425 Phone: 843-792-3531 |