| |
1300 Hospital Dr Suite 300 Mount Pleasant SC 29464-3217 | |
(843) 884-5200 | |
(843) 884-6417 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1300 Hospital Dr, Mount Pleasant, South Carolina |
Authorized Official Name and Position | Paul L Yantis (PRESIDENT) |
Authorized Official Contact | 8438845200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1300 Hospital Dr Suite 300 Mount Pleasant SC 29464-3217 Ph: (843) 884-5200 | 1300 Hospital Dr Suite 300 Mount Pleasant SC 29464-3217 Ph: (843) 884-5200 |
NPI Number | 1154437291 |
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Provider Enumeration Date | 08/22/2006 |
Last Update Date | 09/28/2015 |
Medicare PECOS PAC ID | 1850350802 |
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Medicare Enrollment ID | O20041006000650 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154437291 | NPI | - | NPPES |
PC4786 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Shixiong Liao |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1285698829 PECOS PAC ID: 2961590286 Enrollment ID: I20071120000014 |
Provider Name | Weijian Zhu |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1134138530 PECOS PAC ID: 5799828414 Enrollment ID: I20100203000655 |
Provider Name | Jeffrey Ritchie Joyner |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1134235278 PECOS PAC ID: 6901908698 Enrollment ID: I20110222000842 |
Provider Name | William H Marsh |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1306952445 PECOS PAC ID: 1456453141 Enrollment ID: I20110222000871 |
Provider Name | Joshua T Watson |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1831171461 PECOS PAC ID: 7214166164 Enrollment ID: I20151029003094 |
Provider Name | William John Bulsiewicz |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1821247693 PECOS PAC ID: 9436298510 Enrollment ID: I20160520001315 |
Sports Medicine & Orthopaedic Centers, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1230 Hospital Dr, Mount Pleasant, SC 29464 Phone: 843-473-4331 Fax: 843-473-4398 | |
Life Essentials Health Solutions Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 N Highway 17 Unit H, Mount Pleasant, SC 29464 Phone: 843-284-8410 Fax: 843-606-2528 | |
Life Essentials Health Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 N Highway 17 Unit H, Mount Pleasant, SC 29464 Phone: 843-284-8410 | |