Escobedo Advanced Healthcare Solutions Llc | |
121 Sparkleberry Crossing Rd Ste 200 Columbia SC 29229-8639 | |
(803) 788-2167 | |
(803) 788-4165 |
Full Name | Escobedo Advanced Healthcare Solutions Llc |
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Speciality | General Practice |
Location | 121 Sparkleberry Crossing Rd Ste 200, Columbia, South Carolina |
Authorized Official Name and Position | Mark Escobedo (OWNER) |
Authorized Official Contact | 8033195457 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Escobedo Advanced Healthcare Solutions Llc 121 Sparkleberry Crossing Rd Ste 200 Columbia SC 29229-8639 Ph: (803) 788-2167 | Escobedo Advanced Healthcare Solutions Llc 121 Sparkleberry Crossing Rd Ste 200 Columbia SC 29229-8639 Ph: (803) 788-2167 |
NPI Number | 1255945754 |
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Provider Enumeration Date | 09/02/2020 |
Last Update Date | 09/02/2020 |
Medicare PECOS PAC ID | 5799186938 |
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Medicare Enrollment ID | O20210625001395 |
Identifier | Type | State | Issuer |
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1255945754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Jeremy Lynn Adams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568942696 PECOS PAC ID: 5597007799 Enrollment ID: I20200519000616 |
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