Mrs Regina F Holmes, APRN | |
Agape Senior Primary Care Inc Dba Main Street Physician, 3612 Mitchell Street, Loris, SC 29569 | |
(843) 756-2122 | |
(843) 756-2121 |
Full Name | Mrs Regina F Holmes |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | Agape Senior Primary Care Inc Dba Main Street Physician, Loris, 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 |
---|---|---|---|
1124347604 | NPI | - | NPPES |
NP1730 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F4220 (South Carolina) | Primary |
Entity Name | Carolinas Medical Alliance Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023238490 PECOS PAC ID: 9739096769 Enrollment ID: O20050201000341 |
Entity Name | Mcleod Physician Associates Ii |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
Entity Name | Sc House Calls Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518048859 PECOS PAC ID: 6800994807 Enrollment ID: O20070613000821 |
Entity Name | Mcleod Loris Seacoast Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265708119 PECOS PAC ID: 9133394398 Enrollment ID: O20120710000230 |
Mailing Address | Practice Location Address |
---|---|
Mrs Regina F Holmes, APRN 1053 Center Street, Attention: Credentialing Department, West Columbia, SC 29169 Ph: (800) 726-2350 | Mrs Regina F Holmes, APRN Agape Senior Primary Care Inc Dba Main Street Physician, 3612 Mitchell Street, Loris, SC 29569 Ph: (843) 756-2122 |
Carla Cox Norris, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2828 Bayboro St, Loris, SC 29569 Phone: 843-716-2229 Fax: 843-716-2483 | |
Wanda W Grainger, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3109 Casey St, Suite A, Loris, SC 29569 Phone: 843-756-9292 Fax: 843-756-9260 | |
Mrs. Julia Batten Hucks, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3418 Casey St, Loris, SC 29569 Phone: 843-756-7885 | |
Mrs. Donna C Sellers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3109 Casey St, Suite A, Loris, SC 29569 Phone: 843-756-9292 Fax: 843-756-9260 | |
Jennifer Roberts, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2828 Bayboro St, Loris, SC 29569 Phone: 843-716-2229 | |
Beverly Cecile Wilson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3817 Main St, Loris, SC 29569 Phone: 843-663-8000 |