Stacy Lynn Whitworth, FNP-BC | |
914 Reynolds Rd, Barnwell, SC 29812-6358 | |
(803) 259-5311 | |
(803) 259-5196 |
Full Name | Stacy Lynn Whitworth |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 914 Reynolds Rd, Barnwell, 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 |
---|---|---|---|
1093185829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 196303 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 21687 (South Carolina) | Primary |
Entity Name | Coastal Imaging Solutions Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114263456 PECOS PAC ID: 0042464364 Enrollment ID: O20130213000406 |
Mailing Address | Practice Location Address |
---|---|
Stacy Lynn Whitworth, FNP-BC 914 Reynolds Rd, Barnwell, SC 29812-6358 Ph: (803) 259-5311 | Stacy Lynn Whitworth, FNP-BC 914 Reynolds Rd, Barnwell, SC 29812-6358 Ph: (803) 259-5311 |
Ms. Tracy Stichert, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 86 Wren St, Barnwell, SC 29812 Phone: 803-259-5762 | |
Marsha Wren Carroll, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 86 Wren St, Barnwell, SC 29812 Phone: 803-259-5762 Fax: 803-259-3250 | |
Christopher Shane Carroll, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10706 Marlboro Ave., Barnwell, SC 29812 Phone: 803-259-7337 | |
Amanda Beck Bucao, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1644 Jackson St, Barnwell, SC 29812 Phone: 888-221-1826 | |
Mrs. Shenika Mitchell Carter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 154 Wren St, Barnwell, SC 29812 Phone: 803-259-3399 | |
Mrs. Sharnte Dukes-jamison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 86 Wren St, Barnwell, SC 29812 Phone: 803-259-5762 Fax: 803-259-3250 |