Carolina Medical Consultants Pa | |
311 Glenwood Dr Rock Hill SC 29732-1818 | |
(803) 366-7175 | |
Not Available |
Full Name | Carolina Medical Consultants Pa |
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Speciality | Clinic/Center |
Location | 311 Glenwood Dr, Rock Hill, South Carolina |
Authorized Official Name and Position | David Jenkins (PRESIDENT) |
Authorized Official Contact | 8033667175 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Carolina Medical Consultants Pa 311 Glenwood Dr Rock Hill SC 29732-1818 Ph: (803) 366-7175 | Carolina Medical Consultants Pa 311 Glenwood Dr Rock Hill SC 29732-1818 Ph: (803) 366-7175 |
NPI Number | 1760577837 |
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Provider Enumeration Date | 10/04/2006 |
Last Update Date | 12/30/2011 |
Medicare PECOS PAC ID | 0941106066 |
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Medicare Enrollment ID | O20031210000177 |
Identifier | Type | State | Issuer |
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1760577837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (South Carolina) | Primary |
Provider Name | Randolph Victor Villamor |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851383731 PECOS PAC ID: 9436055365 Enrollment ID: I20031210000836 |
Provider Name | John Christopher Hoitink |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861484750 PECOS PAC ID: 0840474359 Enrollment ID: I20110407000408 |
Provider Name | Matthew David Jenkins |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467444133 PECOS PAC ID: 5395929822 Enrollment ID: I20110407000673 |
Provider Name | Rhea Hsu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952394744 PECOS PAC ID: 8325222458 Enrollment ID: I20110413000803 |
Provider Name | Sheryl Lamb |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093191249 PECOS PAC ID: 4486956109 Enrollment ID: I20160112001162 |
Provider Name | Denine Raymond |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528611357 PECOS PAC ID: 6002147378 Enrollment ID: I20191017001796 |
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Piedmont St, Rock Hill, SC 29730 Phone: 803-325-7744 | |