1800doctorb | |
5130 Wescott Blvd Summerville SC 29485-9043 | |
(843) 486-2712 | |
Not Available |
Full Name | 1800doctorb |
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Speciality | Internal Medicine |
Location | 5130 Wescott Blvd, Summerville, South Carolina |
Authorized Official Name and Position | Corynne Ann Boyer (DIRECTOR) |
Authorized Official Contact | 2672260250 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1800doctorb 1061 Rivershore Rd Charleston SC 29492-7980 Ph: (267) 226-0250 | 1800doctorb 5130 Wescott Blvd Summerville SC 29485-9043 Ph: (843) 486-2712 |
NPI Number | 1023503315 |
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Provider Enumeration Date | 06/28/2018 |
Last Update Date | 06/28/2018 |
Medicare PECOS PAC ID | 9931452562 |
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Medicare Enrollment ID | O20181030000746 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023503315 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 1631 (South Carolina) | Primary |
Provider Name | Corynne A Boyer |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912138983 PECOS PAC ID: 1153477070 Enrollment ID: I20121101000445 |
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