| Camden Heart Care, Llc | |
|
1045 W Dekalb St Camden SC 29020-4162 | |
| (803) 432-8622 | |
| (803) 432-8624 |
| Full Name | Camden Heart Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1045 W Dekalb St, Camden, South Carolina |
| Authorized Official Name and Position | William Lawrence Schoolmeester (OWNER) |
| Authorized Official Contact | 8034328622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Camden Heart Care, Llc 1045 W Dekalb St Camden SC 29020-4162 Ph: (803) 432-8622 | Camden Heart Care, Llc 1045 W Dekalb St Camden SC 29020-4162 Ph: (803) 432-8622 |
| NPI Number | 1447429493 |
|---|---|
| Provider Enumeration Date | 02/25/2008 |
| Last Update Date | 03/30/2015 |
| Medicare PECOS PAC ID | 5193808905 |
|---|---|
| Medicare Enrollment ID | O20080215000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447429493 | NPI | - | NPPES |
| 099725 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 9972 (South Carolina) | Primary |
| Provider Name | William L Schoolmeester |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104858950 PECOS PAC ID: 1052409430 Enrollment ID: I20071119000390 |
| Provider Name | Jennifer L Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992281513 PECOS PAC ID: 6800138124 Enrollment ID: I20190506002523 |
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