Novant Health Indian Land Primary Care | |
6237 Carolina Commons Dr Suite 101 Indian Land SC 29707-6014 | |
(803) 548-9393 | |
(803) 548-9590 |
Full Name | Novant Health Indian Land Primary Care |
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Speciality | Family Medicine |
Location | 6237 Carolina Commons Dr, Indian Land, South Carolina |
Authorized Official Name and Position | Shala Davis (RCS MANAGER) |
Authorized Official Contact | 7043037517 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Novant Health Indian Land Primary Care Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 384-7840 | Novant Health Indian Land Primary Care 6237 Carolina Commons Dr Suite 101 Indian Land SC 29707-6014 Ph: (803) 548-9393 |
NPI Number | 1245335421 |
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Provider Enumeration Date | 09/13/2006 |
Last Update Date | 07/09/2024 |
Medicare PECOS PAC ID | 1153234893 |
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Medicare Enrollment ID | O20061212000240 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245335421 | NPI | - | NPPES |
GP4510 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Nicholas H Tuttle |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447251186 PECOS PAC ID: 9032018015 Enrollment ID: I20040108000751 |
Provider Name | Stephen F Oehme |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861493496 PECOS PAC ID: 0143213801 Enrollment ID: I20040407000804 |
Provider Name | William Lee Thomas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043275522 PECOS PAC ID: 7911981451 Enrollment ID: I20061219000028 |
Provider Name | Christopher R Snyder |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386632016 PECOS PAC ID: 7012011182 Enrollment ID: I20130122000049 |
Provider Name | Olatokunbo Efunsami Soyode-etomi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326132804 PECOS PAC ID: 6406080332 Enrollment ID: I20131009000644 |
Provider Name | Erin Rushing Kersey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386085702 PECOS PAC ID: 6901032200 Enrollment ID: I20131114001538 |
Provider Name | Taisha C'mone Roberts |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679884803 PECOS PAC ID: 6103123278 Enrollment ID: I20160405001180 |
Provider Name | Sheri Jamal |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417245671 PECOS PAC ID: 8820388333 Enrollment ID: I20160610001632 |
Provider Name | Sara Swanton |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770962607 PECOS PAC ID: 1355631920 Enrollment ID: I20180927000111 |
Provider Name | Zoe M Comer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871722538 PECOS PAC ID: 3173679461 Enrollment ID: I20191108000637 |
Provider Name | Sarah G Cox |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861056137 PECOS PAC ID: 1850626078 Enrollment ID: I20220808003474 |
Provider Name | Keyeriashon Tucker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801271713 PECOS PAC ID: 9032492343 Enrollment ID: I20240123000017 |
Kds Consultants, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8351 Charlotte Hwy Ste 200, Indian Land, SC 29707 Phone: 803-285-1082 Fax: 803-283-4329 | |
Palmetto Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1040 Edgewater Corporate Pkwy Suite 101, Indian Land, SC 29707 Phone: 803-548-7007 | |
Mecklenburg Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7666 Charlotte Highway, Suite 200, Indian Land, SC 29707 Phone: 704-302-9600 Fax: 803-431-8225 | |
Levine Cancer Institute Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7666 Charlotte Hwy, Suite 200-a, Indian Land, SC 29707 Phone: 704-302-9600 Fax: 704-302-9601 | |
Barnett Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7666 Charlotte Hwy, Ste 120, Indian Land, SC 29707 Phone: 803-431-8220 | |
Mackey Family Practice, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8351 Charlotte Hwy, Suite 200, Indian Land, SC 29707 Phone: 803-396-5368 Fax: 803-396-5350 |