| Mcphail Clinic Pc | |
|
1709 Old Trolley Rd Summerville SC 29485-8276 | |
| (843) 873-2225 | |
| Not Available |
| Full Name | Mcphail Clinic Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1709 Old Trolley Rd, Summerville, South Carolina |
| Authorized Official Name and Position | Drew Kelley Mcphail (OWNER) |
| Authorized Official Contact | 8436704057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcphail Clinic Pc 1709 Old Trolley Rd Summerville SC 29485-8276 Ph: (843) 873-2225 | Mcphail Clinic Pc 1709 Old Trolley Rd Summerville SC 29485-8276 Ph: (843) 873-2225 |
| NPI Number | 1356943518 |
|---|---|
| Provider Enumeration Date | 11/12/2020 |
| Last Update Date | 11/12/2020 |
| Medicare PECOS PAC ID | 1759794159 |
|---|---|
| Medicare Enrollment ID | O20210104000494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356943518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Edward J Giove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487610119 PECOS PAC ID: 0840194304 Enrollment ID: I20031125000749 |
| Provider Name | Gretchen Anne Overstolz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215291067 PECOS PAC ID: 2264661776 Enrollment ID: I20140203001701 |
| Provider Name | David Christopher Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437621612 PECOS PAC ID: 9335488956 Enrollment ID: I20190305002491 |
| Provider Name | Roxanne Serohi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891253522 PECOS PAC ID: 1658614995 Enrollment ID: I20190529003322 |
| Provider Name | Jenni Hackenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235709395 PECOS PAC ID: 9537562608 Enrollment ID: I20210727002160 |
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