| Internal Medicine Of Walterboro | |
|
873 Robertson Blvd Walterboro SC 29488 | |
| (843) 542-9535 | |
| (843) 542-9675 |
| Full Name | Internal Medicine Of Walterboro |
|---|---|
| Speciality | Internal Medicine |
| Location | 873 Robertson Blvd, Walterboro, South Carolina |
| Authorized Official Name and Position | Jeffrey Rae Kramer (OWNER) |
| Authorized Official Contact | 8435429535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of Walterboro 873 Robertson Blvd Walterboro SC 29488 Ph: (843) 542-9535 | Internal Medicine Of Walterboro 873 Robertson Blvd Walterboro SC 29488 Ph: (843) 542-9535 |
| NPI Number | 1487792248 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 05/14/2013 |
| Medicare PECOS PAC ID | 8325142656 |
|---|---|
| Medicare Enrollment ID | O20070327000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487792248 | NPI | - | NPPES |
| 184268 | Medicaid | SC | |
| G649288697 | Other | SC | MEDICARE ID |
| GP2942 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 18426 (South Carolina) | Primary |
| Provider Name | Jeffrey R Kramer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588618169 PECOS PAC ID: 9638112949 Enrollment ID: I20050804001243 |
| Provider Name | Bailey S Barrineau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467050138 PECOS PAC ID: 0446659247 Enrollment ID: I20210527002208 |
| Provider Name | Brittany M Gruber Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467113324 PECOS PAC ID: 5395138432 Enrollment ID: I20220212000149 |
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