Jwke Internal Medicine Llc | |
3000 Woodside Executive Ct Aiken SC 29803-3831 | |
(803) 226-9691 | |
(803) 226-0752 |
Full Name | Jwke Internal Medicine Llc |
---|---|
Speciality | Internal Medicine |
Location | 3000 Woodside Executive Ct, Aiken, South Carolina |
Authorized Official Name and Position | Ashley Toole (PHYSICIAN/OWNER) |
Authorized Official Contact | 8032269691 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jwke Internal Medicine Llc 3000 Woodside Executive Ct Aiken SC 29803-3831 Ph: (803) 226-9691 | Jwke Internal Medicine Llc 3000 Woodside Executive Ct Aiken SC 29803-3831 Ph: (803) 226-9691 |
NPI Number | 1467163113 |
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Provider Enumeration Date | 12/13/2022 |
Last Update Date | 12/13/2022 |
Medicare PECOS PAC ID | 5193197408 |
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Medicare Enrollment ID | O20230215001456 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467163113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ashley E Toole |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659668531 PECOS PAC ID: 0749402915 Enrollment ID: I20141104001802 |
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