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1656 Riverchase Blvd Ste 1400 Rock Hill SC 29732-2084 | |
(803) 329-9088 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 1656 Riverchase Blvd, Rock Hill, South Carolina |
Authorized Official Name and Position | Scott Rissmiller (ENTERPRISE EVP) |
Authorized Official Contact | 7043558675 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 19305 Charlotte NC 28219-9305 Ph: (704) 631-0002 | 1656 Riverchase Blvd Ste 1400 Rock Hill SC 29732-2084 Ph: (803) 329-9088 |
NPI Number | 1306269691 |
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Provider Enumeration Date | 01/23/2014 |
Last Update Date | 03/09/2023 |
Medicare PECOS PAC ID | 2961310685 |
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Medicare Enrollment ID | O20120913000839 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306269691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RH0003X | Internal Medicine - Hematology & Oncology | (* (Not Available)) | Secondary |
Provider Name | Shirley K Scott |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1124098298 PECOS PAC ID: 7315848934 Enrollment ID: I20040121000280 |
Provider Name | Pamela R Sinclair |
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Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1972678571 PECOS PAC ID: 6406848639 Enrollment ID: I20040330001524 |
Provider Name | Daniel E Haggstrom |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1891958013 PECOS PAC ID: 8921152190 Enrollment ID: I20110906000323 |
Provider Name | Darlene Hicks Dunlap |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760634554 PECOS PAC ID: 0648213942 Enrollment ID: I20141020001799 |
Provider Name | Alaa Muslimani |
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Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1881887826 PECOS PAC ID: 1658467915 Enrollment ID: I20151119002932 |
Provider Name | Bhanji D Kundaria |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1619906872 PECOS PAC ID: 3779653555 Enrollment ID: I20200211002412 |
Provider Name | Sejal Dave |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1124234901 PECOS PAC ID: 8325191927 Enrollment ID: I20200915002006 |
Provider Name | Chasse Margot Bailey-dorton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326099193 PECOS PAC ID: 0749289668 Enrollment ID: I20210208001552 |
Provider Name | Shenita Spencer Moore |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902032097 PECOS PAC ID: 8325296767 Enrollment ID: I20211012002736 |
Provider Name | Beth E Susi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063445724 PECOS PAC ID: 1153338942 Enrollment ID: I20220407000585 |
Provider Name | Arielle L Heeke |
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Provider Type | Practitioner - Hematology |
Provider Identifiers | NPI Number: 1881950848 PECOS PAC ID: 5698025187 Enrollment ID: I20230811003005 |
Provider Name | Kulsum Bano |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1114378775 PECOS PAC ID: 8527355320 Enrollment ID: I20231115003528 |
Provider Name | Shelbi Atrash |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1417105941 PECOS PAC ID: 9032380654 Enrollment ID: I20240216001945 |
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Piedmont St, Rock Hill, SC 29730 Phone: 803-325-7744 | |