Mrs Tracey Denise-thoms Miller, APRN | |
345 Cedar Springs Avenue, Spartanburg, SC 29302 | |
(864) 439-0959 | |
Not Available |
Full Name | Mrs Tracey Denise-thoms Miller |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 345 Cedar Springs Avenue, Spartanburg, 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 |
---|---|---|---|
1265818892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 19668 (South Carolina) | Primary |
Entity Name | Elite Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730727009 PECOS PAC ID: 6103256284 Enrollment ID: O20230915003452 |
Entity Name | Health Core Medical & Aesthetics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588445324 PECOS PAC ID: 6204285109 Enrollment ID: O20231217000059 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tracey Denise-thoms Miller, APRN 511 Cricket Ridge Ct, Duncan, SC 29334-8877 Ph: (864) 439-0959 | Mrs Tracey Denise-thoms Miller, APRN 345 Cedar Springs Avenue, Spartanburg, SC 29302 Ph: (864) 439-0959 |
David H Whiteside, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1330 Boiling Springs Rd, Suite 2500, Spartanburg, SC 29303 Phone: 864-585-5433 Fax: 864-591-4053 | |
Heidi Elizabeth Walsh, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 322 N Pine St, Spartanburg, SC 29302 Phone: 864-582-5099 Fax: 864-597-1260 | |
Shakira Leake, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-585-0366 | |
Mrs. Jacqueline C. Myers, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 N Pine St, Spartanburg, SC 29302 Phone: 864-541-0649 | |
Melony C Fowler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 853 N Church St, Suite 620, Spartanburg, SC 29303 Phone: 864-573-7511 Fax: 864-560-1690 | |
Dr. Amanda Boniface Rogers, DNP, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2995 Reidville Rd Ste 210, Spartanburg, SC 29301 Phone: 864-253-8140 Fax: 864-587-0051 | |
Erin Lavette Farr, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 841 E Main St Ste C, Spartanburg, SC 29302 Phone: 864-285-4533 Fax: 864-285-4432 |