Charleston Thyroid Center, Llc | |
1054 Johnnie Dodds Blvd Ste A Mount Pleasant SC 29464-3153 | |
(843) 388-7545 | |
(843) 388-5548 |
Full Name | Charleston Thyroid Center, Llc |
---|---|
Speciality | Internal Medicine |
Location | 1054 Johnnie Dodds Blvd Ste A, Mount Pleasant, South Carolina |
Authorized Official Name and Position | Brittany Bohinc Henderson (OWNER/MD) |
Authorized Official Contact | 8433887545 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Charleston Thyroid Center, Llc 1054 Johnnie Dodds Blvd Ste A Mount Pleasant SC 29464-3153 Ph: (843) 388-7545 | Charleston Thyroid Center, Llc 1054 Johnnie Dodds Blvd Ste A Mount Pleasant SC 29464-3153 Ph: (843) 388-7545 |
NPI Number | 1548759780 |
---|---|
Provider Enumeration Date | 05/03/2018 |
Last Update Date | 01/23/2019 |
Medicare PECOS PAC ID | 2668726571 |
---|---|
Medicare Enrollment ID | O20181113000740 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548759780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Lindsey Tucker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346899671 PECOS PAC ID: 2769818616 Enrollment ID: I20200212002230 |
Provider Name | Samantha E Allnutt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487176046 PECOS PAC ID: 8123392487 Enrollment ID: I20201028001396 |
Sports Medicine & Orthopaedic Centers, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1230 Hospital Dr, Mount Pleasant, SC 29464 Phone: 843-473-4331 Fax: 843-473-4398 | |
Life Essentials Health Solutions Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 N Highway 17 Unit H, Mount Pleasant, SC 29464 Phone: 843-284-8410 Fax: 843-606-2528 | |
Life Essentials Health Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 N Highway 17 Unit H, Mount Pleasant, SC 29464 Phone: 843-284-8410 | |