| Kershaw Hospital Llc | |
|
1315 Roberts St Camden SC 29020-3737 | |
| (803) 432-4311 | |
| (803) 713-6384 |
| Full Name | Kershaw Hospital Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1315 Roberts St, Camden, South Carolina |
| Authorized Official Name and Position | Terrance Dillon (ASSISTANT SECRETARY) |
| Authorized Official Contact | 5025967220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kershaw Hospital Llc 1315 Roberts St Camden SC 29020-3737 Ph: (803) 432-4311 | Kershaw Hospital Llc 1315 Roberts St Camden SC 29020-3737 Ph: (803) 432-4311 |
| NPI Number | 1316322027 |
|---|---|
| Provider Enumeration Date | 07/23/2015 |
| Last Update Date | 04/25/2022 |
| Medicare PECOS PAC ID | 2668773698 |
|---|---|
| Medicare Enrollment ID | O20151221002384 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316322027 | NPI | - | NPPES |
| Provider Name | Chaudry M Mushtaq |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1942281399 PECOS PAC ID: 3476466442 Enrollment ID: I20031106000688 |
| Provider Name | Robert B Borucki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700882776 PECOS PAC ID: 6608772090 Enrollment ID: I20031208000762 |
| Provider Name | Phillip E Baldwin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215918545 PECOS PAC ID: 4587562525 Enrollment ID: I20040120000694 |
| Provider Name | Jennifer B Abrams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104899210 PECOS PAC ID: 5799738126 Enrollment ID: I20050225000426 |
| Provider Name | Suzanne L Schwab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699786749 PECOS PAC ID: 2769406420 Enrollment ID: I20060120000331 |
| Provider Name | Guy B Kahler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376506154 PECOS PAC ID: 7618070137 Enrollment ID: I20070321000127 |
| Provider Name | Patrick Martin Omalley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144350588 PECOS PAC ID: 7719076389 Enrollment ID: I20071204000738 |
| Provider Name | Jean D Kohn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457323339 PECOS PAC ID: 5991887812 Enrollment ID: I20080131000368 |
| Provider Name | Joel Stephen Waldrop |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336128016 PECOS PAC ID: 8527135003 Enrollment ID: I20080925000167 |
| Provider Name | Mohamed El Geneidy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447474978 PECOS PAC ID: 9335292903 Enrollment ID: I20090729000407 |
| Provider Name | Shelley L Janssen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124089693 PECOS PAC ID: 4284608399 Enrollment ID: I20100107000598 |
| Provider Name | Anne S Hutchison |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417068347 PECOS PAC ID: 7416140736 Enrollment ID: I20101019001397 |
| Provider Name | Elaine Baxley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831150226 PECOS PAC ID: 0143405035 Enrollment ID: I20110419000263 |
| Provider Name | Scott R Sommers |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932275336 PECOS PAC ID: 3971698184 Enrollment ID: I20110802000380 |
| Provider Name | Woodrow J Coker |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508028366 PECOS PAC ID: 5294904496 Enrollment ID: I20110804000114 |
| Provider Name | Kelly Warnock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578850947 PECOS PAC ID: 9436316999 Enrollment ID: I20120210000537 |
| Provider Name | Charles M Butler |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881725364 PECOS PAC ID: 1456517994 Enrollment ID: I20120727000009 |
| Provider Name | Steven M Minter |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649431990 PECOS PAC ID: 2365684271 Enrollment ID: I20130806000135 |
| Provider Name | Elizabeth A Harleston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194089789 PECOS PAC ID: 1052537511 Enrollment ID: I20140718002085 |
| Provider Name | Vicky F Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326453622 PECOS PAC ID: 6800199282 Enrollment ID: I20160119000676 |
| Provider Name | Sara B Woodberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336507623 PECOS PAC ID: 9234421975 Enrollment ID: I20160715002003 |
| Provider Name | Susan G Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629420286 PECOS PAC ID: 6608161377 Enrollment ID: I20160818002721 |
| Provider Name | Stephanie Ritchey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255821062 PECOS PAC ID: 1052662509 Enrollment ID: I20180921000685 |
Colonial Family Practice Camden Location Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1124 Little St, Camden, SC 29020 Phone: 803-773-5227 Fax: 803-774-5400 | |
Camden Family Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1017 Fair St, Camden, SC 29020 Phone: 803-424-1260 Fax: 803-424-1230 | |
Kershawhealth Primary Care At Camden Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Mill St, Camden, SC 29020 Phone: 803-432-4311 | |
Providence Cardiovascular Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 Haile St, Camden, SC 29020 Phone: 803-434-6771 Fax: 803-424-1900 | |
Sandhills Medical Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 Laurens St, Camden, SC 29020 Phone: 803-425-8960 | |
Sandhills Medical Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1730 Jefferson Davis Hwy, Camden, SC 29020 Phone: 803-425-8965 | |
Lifeforte Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1315 Roberts Street, Camden, SC 29020 Phone: 803-765-1838 |