Elizabeth Emmons Moulton, PT, DPT | |
50 E Hospital St, Manning, SC 29102-3149 | |
(843) 435-3162 | |
Not Available |
Full Name | Elizabeth Emmons Moulton |
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Gender | Female |
Speciality | Physical Therapist |
Location | 50 E Hospital St, Manning, 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 |
---|---|---|---|
1548815954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 9328 (South Carolina) | Primary |
Provider Name | Functional Pathways Preferred Of Tennessee Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20130110000461 |
Mailing Address | Practice Location Address |
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Elizabeth Emmons Moulton, PT, DPT 22 Putter Dr, Sumter, SC 29150-8607 Ph: () - | Elizabeth Emmons Moulton, PT, DPT 50 E Hospital St, Manning, SC 29102-3149 Ph: (843) 435-3162 |
Stepheni Witherspoon Edwards, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 297 W Boyce St, Manning, SC 29102 Phone: 803-433-9001 | |
Mrs. Erica Jones Hodge, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 122 N Brooks St, Manning, SC 29102 Phone: 803-433-9001 | |
Stephanie A Hite, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 122 N Brooks St, Manning, SC 29102 Phone: 803-433-9001 Fax: 803-433-9002 | |
Dr. Taylor Jordon Mcfaddin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 297 W Boyce St, Manning, SC 29102 Phone: 803-433-9001 | |
Lakeview Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 122 N Brooks St, Manning, SC 29102 Phone: 803-433-9001 Fax: 803-433-9002 | |
Dr. Casey R. Amato, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10 E Hospital St, Manning, SC 29102 Phone: 803-435-3162 |