| Diabetes Center Llc | |
|
11891 Plaza Drive Murrells Inlet SC 29576 | |
| (843) 353-0288 | |
| (843) 357-9770 |
| Full Name | Diabetes Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11891 Plaza Drive, Murrells Inlet, South Carolina |
| Authorized Official Name and Position | Brent Russell Nicol (BUSINESS MANAGER) |
| Authorized Official Contact | 8433530288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes Center Llc Po Box 15010 Surfside Beach SC 29587-5010 Ph: (843) 353-0288 | Diabetes Center Llc 11891 Plaza Drive Murrells Inlet SC 29576 Ph: (843) 353-0288 |
| NPI Number | 1114117488 |
|---|---|
| Provider Enumeration Date | 08/01/2007 |
| Last Update Date | 05/17/2012 |
| Medicare PECOS PAC ID | 2062400898 |
|---|---|
| Medicare Enrollment ID | O20040503000275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114117488 | NPI | - | NPPES |
| Provider Name | Philip Russell Nicol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417996554 PECOS PAC ID: 1759379597 Enrollment ID: I20110308000177 |
Strand Regional Specialty Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4367 Riverwood Dr, Suite 120, Murrells Inlet, SC 29576 Phone: 843-357-8008 Fax: 843-357-3819 | |
Roper St. Francis After Hours Care - Murrells Inlet Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 912 Inlet Square Dr, Suite A, Murrells Inlet, SC 29576 Phone: 843-651-4111 Fax: 843-651-1047 | |
Coastal House Calls, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 671 Jamestown Dr, Suite 203, Murrells Inlet, SC 29576 Phone: 843-631-4656 | |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 912 Inlet Square Dr, Murrells Inlet, SC 29576 Phone: 843-651-4111 | |
Tidelands Health Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2347 S Highway 17, Murrells Inlet, SC 29576 Phone: 843-357-2443 Fax: 843-357-2132 | |
T J Reardon Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 671 Jamestown Dr, Ste 202a, Murrells Inlet, SC 29576 Phone: 864-237-1184 |