| Crescent Healthcare Llc | |
|
214 W Pine St Florence SC 29501 | |
| (843) 661-0500 | |
| (843) 661-7370 |
| Full Name | Crescent Healthcare Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 214 W Pine St, Florence, South Carolina |
| Authorized Official Name and Position | Carol Yarborough (OFFICE MANAGER) |
| Authorized Official Contact | 8436610500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Healthcare Llc Po Box 2109 Florence SC 29503-2109 Ph: (843) 661-0500 | Crescent Healthcare Llc 214 W Pine St Florence SC 29501 Ph: (843) 661-0500 |
| NPI Number | 1932532447 |
|---|---|
| Provider Enumeration Date | 08/20/2013 |
| Last Update Date | 08/02/2022 |
| Medicare PECOS PAC ID | 3971746447 |
|---|---|
| Medicare Enrollment ID | O20130830000794 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932532447 | NPI | - | NPPES |
| Provider Name | Brandy B Bryant-herndon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538240296 PECOS PAC ID: 9830085380 Enrollment ID: I20040223001141 |
| Provider Name | Harry S Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013916816 PECOS PAC ID: 6305976648 Enrollment ID: I20100611000571 |
| Provider Name | Lindsay F Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720289135 PECOS PAC ID: 8527191345 Enrollment ID: I20100730000660 |
| Provider Name | Kelli Coleman Knotts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972886026 PECOS PAC ID: 1850540352 Enrollment ID: I20120926000802 |
| Provider Name | Jennifer Lucas Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003583246 PECOS PAC ID: 2062800857 Enrollment ID: I20211027003188 |
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