Paul Andrew Gulledge, FNP | |
512 Nelson Blvd Ste 200, Kingstree, SC 29556-4027 | |
(843) 355-5459 | |
(843) 355-9704 |
Full Name | Paul Andrew Gulledge |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 25 Years |
Location | 512 Nelson Blvd Ste 200, Kingstree, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194855502 | NPI | - | NPPES |
699 | Other | SC | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 699 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health Care | Kingstree, SC | Home health agency |
Mcleod Health Clarendon | Manning, SC | Hospital |
Mcleod Regional Medical Center-pee Dee | Florence, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mcleod Health Clarendon | 0840582656 | 61 |
Spartanburg Medical Center | 3072425297 | 912 |
Entity Name | Spartanburg Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
Entity Name | Spartanburg Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235170077 PECOS PAC ID: 3072425297 Enrollment ID: O20040322000577 |
Entity Name | Mcleod Health Clarendon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508218793 PECOS PAC ID: 0840582656 Enrollment ID: O20160915000930 |
Entity Name | Cherokee Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285275305 PECOS PAC ID: 5991041212 Enrollment ID: O20191220002041 |
Mailing Address | Practice Location Address |
---|---|
Paul Andrew Gulledge, FNP Po Box 3239, Florence, SC 29502-3239 Ph: (843) 777-7487 | Paul Andrew Gulledge, FNP 512 Nelson Blvd Ste 200, Kingstree, SC 29556-4027 Ph: (843) 355-5459 |
Angela Allen Morris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Thurgood Marshall Hwy, Suite F, Kingstree, SC 29556 Phone: 843-355-1774 Fax: 843-355-1775 | |
Telatha Cornelia Powell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 Thurgood Marshall Hwy Ste B, Kingstree, SC 29556 Phone: 843-355-5628 | |
Doris Owusu Amoah, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Thurgood Marshall Hwy, Kingstree, SC 29556 Phone: 843-355-1772 Fax: 843-355-0123 | |
Destiny Murph, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Thurgood Marshall Hwy, Kingstree, SC 29556 Phone: 843-355-1772 | |
Mrs. Nancy Carrol Smith, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 520 Thurgood Marshall Hwy, Kingstree, SC 29556 Phone: 843-355-6012 Fax: 843-355-9590 | |
Matthew Amos Wise, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 Thurgood Marshall Hwy Ste B, Kingstree, SC 29556 Phone: 846-355-5628 Fax: 843-355-5616 |