| Endocrinology And Diabetes Of The Carolinas Llc | |
|
901 West Meeting Street, Suite 205 Lancaster SC 29720 | |
| (803) 285-8080 | |
| (803) 285-9898 |
| Full Name | Endocrinology And Diabetes Of The Carolinas Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 901 West Meeting Street, Suite 205, Lancaster, South Carolina |
| Authorized Official Name and Position | Marion Betancourt-albrecht (OWNER) |
| Authorized Official Contact | 8032858080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrinology And Diabetes Of The Carolinas Llc 901 West Meeting Street, Suite 205 Lancaster SC 29720 Ph: (803) 285-8080 | Endocrinology And Diabetes Of The Carolinas Llc 901 West Meeting Street, Suite 205 Lancaster SC 29720 Ph: (803) 285-8080 |
| NPI Number | 1467992768 |
|---|---|
| Provider Enumeration Date | 03/06/2017 |
| Last Update Date | 07/09/2020 |
| Medicare PECOS PAC ID | 1658657473 |
|---|---|
| Medicare Enrollment ID | O20170411000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467992768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD31279 (South Carolina) | Primary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MD31279 (South Carolina) | Secondary |
| Provider Name | Marion E Betancourt-albrecht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497906432 PECOS PAC ID: 0941367965 Enrollment ID: I20090318000643 |
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