| Elms Digestive Disease Specialists,pa | |
|
2671 Elms Plantation Blvd North Charleston SC 29406-9165 | |
| (843) 797-6800 | |
| (843) 797-6825 |
| Full Name | Elms Digestive Disease Specialists,pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2671 Elms Plantation Blvd, North Charleston, South Carolina |
| Authorized Official Name and Position | Todd L Snyder (PRESIDENT/CEO) |
| Authorized Official Contact | 8437976800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elms Digestive Disease Specialists,pa 2671 Elms Plantation Blvd North Charleston SC 29406-9165 Ph: (843) 797-6800 | Elms Digestive Disease Specialists,pa 2671 Elms Plantation Blvd North Charleston SC 29406-9165 Ph: (843) 797-6800 |
| NPI Number | 1821024431 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 01/14/2015 |
| Medicare PECOS PAC ID | 8123015617 |
|---|---|
| Medicare Enrollment ID | O20040427001232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821024431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Kenneth F Grant |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114997095 PECOS PAC ID: 2860390739 Enrollment ID: I20031231000028 |
| Provider Name | Judd B Adelman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912940131 PECOS PAC ID: 9436146933 Enrollment ID: I20040427001282 |
| Provider Name | Dwight P Mirmow |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730173493 PECOS PAC ID: 6204732688 Enrollment ID: I20050913000462 |
| Provider Name | Gregory C Goodear |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659473007 PECOS PAC ID: 9537166699 Enrollment ID: I20061102000207 |
| Provider Name | Todd Louis Snyder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245229269 PECOS PAC ID: 6406864677 Enrollment ID: I20100923000733 |
| Provider Name | Marc New |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831170612 PECOS PAC ID: 1052329224 Enrollment ID: I20100923000744 |
| Provider Name | David Anthony Florez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003805011 PECOS PAC ID: 7315955580 Enrollment ID: I20101021001064 |
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