| Nationwide Physicians Services Llc | |
|
106 New Salem Dr Anderson SC 29625-5816 | |
| (864) 314-9214 | |
| (864) 712-9198 |
| Full Name | Nationwide Physicians Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 106 New Salem Dr, Anderson, South Carolina |
| Authorized Official Name and Position | Sonny Ghany (BUSINESS PARTNER) |
| Authorized Official Contact | 8643149214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nationwide Physicians Services Llc Po Box 1711 Anderson SC 29622-1711 Ph: (864) 314-9214 | Nationwide Physicians Services Llc 106 New Salem Dr Anderson SC 29625-5816 Ph: (864) 314-9214 |
| NPI Number | 1083470041 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 05/29/2024 |
| Medicare PECOS PAC ID | 2769822188 |
|---|---|
| Medicare Enrollment ID | O20240502002289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083470041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rafael Lucas Lagleva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487601191 PECOS PAC ID: 0042280919 Enrollment ID: I20040728000858 |
| Provider Name | Chad Everett Friel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821013558 PECOS PAC ID: 4385672781 Enrollment ID: I20090521000317 |
| Provider Name | Jessica Mitchell Simpkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699444000 PECOS PAC ID: 5890184535 Enrollment ID: I20211117003089 |
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