E. Hare, Md | |
1291 Glen Gloria St Orangeburg SC 29118-2525 | |
(803) 539-2040 | |
(803) 539-2826 |
Full Name | E. Hare, Md |
---|---|
Speciality | Internal Medicine |
Location | 1291 Glen Gloria St, Orangeburg, South Carolina |
Authorized Official Name and Position | Ester Rose Hare (PRESIDENT) |
Authorized Official Contact | 8035392040 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
E. Hare, Md Po Box 1185 Orangeburg SC 29116-1185 Ph: (803) 539-2040 | E. Hare, Md 1291 Glen Gloria St Orangeburg SC 29118-2525 Ph: (803) 539-2040 |
NPI Number | 1336198571 |
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Provider Enumeration Date | 05/07/2006 |
Last Update Date | 06/25/2010 |
Medicare PECOS PAC ID | 5395809206 |
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Medicare Enrollment ID | O20090121000431 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336198571 | NPI | - | NPPES |
GP0919 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 15871 (South Carolina) | Primary |
Provider Name | Ester R Hare |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538144795 PECOS PAC ID: 7214091123 Enrollment ID: I20090121000420 |
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