| Nasoncare, Llc | |
|
2233 Northwoods Blvd North Charleston SC 29406-4007 | |
| (843) 425-6496 | |
| Not Available |
| Full Name | Nasoncare, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2233 Northwoods Blvd, North Charleston, South Carolina |
| Authorized Official Name and Position | Barron Scott Nason (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8434256496 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nasoncare, Llc 18 Oyster Row Isle Of Palms SC 29451-2724 Ph: (843) 425-6496 | Nasoncare, Llc 2233 Northwoods Blvd North Charleston SC 29406-4007 Ph: (843) 425-6496 |
| NPI Number | 1346705522 |
|---|---|
| Provider Enumeration Date | 02/01/2019 |
| Last Update Date | 02/01/2019 |
| Medicare PECOS PAC ID | 7214365477 |
|---|---|
| Medicare Enrollment ID | O20200323000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346705522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Barron S Nason |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992865950 PECOS PAC ID: 8729060728 Enrollment ID: I20040603000637 |
| Provider Name | Elizabeth F Kekacs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467831024 PECOS PAC ID: 9234449919 Enrollment ID: I20151109002032 |
| Provider Name | Kimberly Randolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144544982 PECOS PAC ID: 8820128028 Enrollment ID: I20200416002161 |
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