| |
2126 Highway 81 N Anderson SC 29621-1532 | |
(999) 999-9999 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 2126 Highway 81 N, Anderson, South Carolina |
Authorized Official Name and Position | Leea Jeanine Walton (RCS MANAGER) |
Authorized Official Contact | 3365157085 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 749306 Atlanta GA 30374-9306 Ph: (844) 266-8468 | 2126 Highway 81 N Anderson SC 29621-1532 Ph: (999) 999-9999 |
NPI Number | 1841026382 |
---|---|
Provider Enumeration Date | 09/11/2024 |
Last Update Date | 01/31/2025 |
Medicare PECOS PAC ID | 8628502598 |
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Medicare Enrollment ID | O20241114002376 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841026382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
Provider Name | Forrest Pommerenke |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952331662 PECOS PAC ID: 4880587534 Enrollment ID: I20040205000821 |
Provider Name | April S Minikiewicz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336176684 PECOS PAC ID: 3678461258 Enrollment ID: I20040305000719 |
Provider Name | James D Woodcock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285650085 PECOS PAC ID: 2860380029 Enrollment ID: I20040309000520 |
Provider Name | Teresa A Williams |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1417977190 PECOS PAC ID: 0547234825 Enrollment ID: I20040823000915 |
Provider Name | Gregory N Hobbs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336107473 PECOS PAC ID: 0749174449 Enrollment ID: I20040824001103 |
Provider Name | Russell A Ross |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245291384 PECOS PAC ID: 9032184353 Enrollment ID: I20040831000524 |
Provider Name | Joseph N Marino |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770548059 PECOS PAC ID: 1658349063 Enrollment ID: I20040923000378 |
Provider Name | Jawahar Swaminathan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730147778 PECOS PAC ID: 5092783308 Enrollment ID: I20040923000466 |
Provider Name | John W Ward |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942250758 PECOS PAC ID: 1052370137 Enrollment ID: I20041005000632 |
Provider Name | Chun S Kim |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871557579 PECOS PAC ID: 6103885116 Enrollment ID: I20041006000312 |
Provider Name | Robert C Lusik |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972567840 PECOS PAC ID: 1557322625 Enrollment ID: I20041021000846 |
Provider Name | Namrata M Shidhaye |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356398432 PECOS PAC ID: 7315902251 Enrollment ID: I20041119000949 |
Provider Name | Mark H Princell |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1427005693 PECOS PAC ID: 3375595093 Enrollment ID: I20050210000570 |
Provider Name | Leia Eveline Oberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245348101 PECOS PAC ID: 0749234920 Enrollment ID: I20050310000334 |
Provider Name | Randi Popp |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093793424 PECOS PAC ID: 9537107560 Enrollment ID: I20050421000029 |
Provider Name | Edward A Neilsen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457316317 PECOS PAC ID: 2466494000 Enrollment ID: I20050524001261 |
Provider Name | Julian L Mason |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386698751 PECOS PAC ID: 0345134946 Enrollment ID: I20050919000621 |
Provider Name | Elizabeth Hinton Darragh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659501799 PECOS PAC ID: 3779509278 Enrollment ID: I20051024000116 |
Provider Name | Katherine Anne Tabor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851510655 PECOS PAC ID: 8224048806 Enrollment ID: I20060426000751 |
Provider Name | Scarlet R Taylor |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932124005 PECOS PAC ID: 0749285385 Enrollment ID: I20061003000473 |
Provider Name | Jill C Lewis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750482824 PECOS PAC ID: 2567565161 Enrollment ID: I20070417000002 |
Provider Name | Michael White |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003815358 PECOS PAC ID: 6103858832 Enrollment ID: I20070723000294 |
Provider Name | Mol Ky |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063607646 PECOS PAC ID: 4082700505 Enrollment ID: I20071015000370 |
Provider Name | Francis X Tunney |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1134237183 PECOS PAC ID: 9335220185 Enrollment ID: I20080117000487 |
Provider Name | Colleen D Lyons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548218142 PECOS PAC ID: 3870677750 Enrollment ID: I20080303000109 |
Provider Name | Anne Wishart Geddes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700960804 PECOS PAC ID: 1456427483 Enrollment ID: I20080827000514 |
Provider Name | Kevin L Morton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134380678 PECOS PAC ID: 7113095902 Enrollment ID: I20081007000204 |
Provider Name | William E O Quinn |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700990587 PECOS PAC ID: 0648335695 Enrollment ID: I20090209000188 |
Provider Name | Shelley L Janssen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124089693 PECOS PAC ID: 4284608399 Enrollment ID: I20100107000598 |
Provider Name | Alan M Jolles |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093744849 PECOS PAC ID: 4880667161 Enrollment ID: I20100512000804 |
Provider Name | Linda M Alwine |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144553751 PECOS PAC ID: 9436288206 Enrollment ID: I20100604000001 |
Provider Name | Joanne M Keefe Tomasello |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366471252 PECOS PAC ID: 6002947983 Enrollment ID: I20100622000639 |
Provider Name | Payam Yousefian |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1477749620 PECOS PAC ID: 1254464852 Enrollment ID: I20100803000956 |
Provider Name | Julie Fritz Casasco |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033316641 PECOS PAC ID: 6507045499 Enrollment ID: I20110125000208 |
Provider Name | Robert Karl Hetz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831175165 PECOS PAC ID: 6608056668 Enrollment ID: I20110208000483 |
Provider Name | Danny Charles Smith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467413682 PECOS PAC ID: 8921999756 Enrollment ID: I20110722000038 |
Provider Name | Alexandra S Witherspoon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871755678 PECOS PAC ID: 1557532454 Enrollment ID: I20110926000926 |
Provider Name | Laura M Garnett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699858837 PECOS PAC ID: 6507995370 Enrollment ID: I20130104000367 |
Provider Name | Louis J Leblanc |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1679652457 PECOS PAC ID: 5597748293 Enrollment ID: I20130104000387 |
Provider Name | Jennifer Arnold |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245672450 PECOS PAC ID: 5395979421 Enrollment ID: I20131003000427 |
Provider Name | April Tamara Clarke |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023321338 PECOS PAC ID: 5496077190 Enrollment ID: I20141209000344 |
Provider Name | Allison M Krakeel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194123364 PECOS PAC ID: 3173840105 Enrollment ID: I20150331001880 |
Provider Name | Herold Nazon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184804536 PECOS PAC ID: 3173740446 Enrollment ID: I20150418000026 |
Provider Name | Michael John Varney |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124023510 PECOS PAC ID: 8527107846 Enrollment ID: I20150630002912 |
Provider Name | Charles E Pexa |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1467550103 PECOS PAC ID: 9133013782 Enrollment ID: I20150715001819 |
Provider Name | John Stanton |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1932336070 PECOS PAC ID: 6103073580 Enrollment ID: I20150819008740 |
Provider Name | Allyson P Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255722708 PECOS PAC ID: 5496062101 Enrollment ID: I20150914000708 |
Provider Name | Evelyn Casey Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578850822 PECOS PAC ID: 9436467461 Enrollment ID: I20150924002032 |
Provider Name | Carolyn M Comer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700983186 PECOS PAC ID: 0749599330 Enrollment ID: I20151021003171 |
Provider Name | Alisha N Orage Freeman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891193371 PECOS PAC ID: 0840583563 Enrollment ID: I20160719000014 |
Provider Name | Virginia Fuller Wright |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225391246 PECOS PAC ID: 6406140623 Enrollment ID: I20160811000937 |
Provider Name | Teonica Cecilia Murphy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669825907 PECOS PAC ID: 5799073888 Enrollment ID: I20161005000480 |
Provider Name | Richard Nelson Eaton |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174524805 PECOS PAC ID: 9436176146 Enrollment ID: I20170104002051 |
Provider Name | Rhonda Cumbee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992237275 PECOS PAC ID: 7810265113 Enrollment ID: I20170608002781 |
Provider Name | Pauline Seebode |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518489814 PECOS PAC ID: 3072889385 Enrollment ID: I20171031002215 |
Provider Name | Nicole Henrich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114461373 PECOS PAC ID: 5799044988 Enrollment ID: I20180116001093 |
Provider Name | Michael Sorrell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982118592 PECOS PAC ID: 6002178621 Enrollment ID: I20180320000855 |
Provider Name | Anna Pollak |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831647411 PECOS PAC ID: 7911283080 Enrollment ID: I20180522001245 |
Provider Name | Matthew C Story |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639687627 PECOS PAC ID: 4688929896 Enrollment ID: I20180612000960 |
Provider Name | Jasmine E Vugrinac |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780199984 PECOS PAC ID: 3971853185 Enrollment ID: I20180910002436 |
Provider Name | Tiffany Lynn Vinson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336522648 PECOS PAC ID: 1951691906 Enrollment ID: I20181221002533 |
Provider Name | Erin R Spangler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629555941 PECOS PAC ID: 3678819133 Enrollment ID: I20190104001083 |
Provider Name | Laurie B Weatherbee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740761006 PECOS PAC ID: 5294071197 Enrollment ID: I20190115000417 |
Provider Name | Andrea Lynn Simmons-nance |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548358898 PECOS PAC ID: 4486608353 Enrollment ID: I20190117001703 |
Provider Name | Willetta Rozena Jacobs Palmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033326590 PECOS PAC ID: 1254484611 Enrollment ID: I20190325002832 |
Provider Name | Barbie Suggs Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104396605 PECOS PAC ID: 6709127368 Enrollment ID: I20190408002315 |
Provider Name | Liza Ann Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215494729 PECOS PAC ID: 3476886268 Enrollment ID: I20190611000327 |
Provider Name | Roxanne P Latimer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912980822 PECOS PAC ID: 3274520846 Enrollment ID: I20190614001910 |
Provider Name | Vanessa Ann Sweat-britt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629534441 PECOS PAC ID: 1557697786 Enrollment ID: I20190725003350 |
Provider Name | Ivery Bonita Reed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992362545 PECOS PAC ID: 0941539621 Enrollment ID: I20190905000773 |
Provider Name | Ashley Protzman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053967760 PECOS PAC ID: 3971835497 Enrollment ID: I20191101000005 |
Provider Name | Maryum Tauseef Wicker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841855442 PECOS PAC ID: 0345672861 Enrollment ID: I20191120003272 |
Provider Name | Sarah Brennan Heilig |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043869431 PECOS PAC ID: 1456784164 Enrollment ID: I20191211002048 |
Provider Name | Tonya Marie Hamby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275005258 PECOS PAC ID: 3577998400 Enrollment ID: I20200122002421 |
Provider Name | Stephanie Anja Taft |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1003847898 PECOS PAC ID: 1254309859 Enrollment ID: I20200608001840 |
Provider Name | Margaret F Patterson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063047454 PECOS PAC ID: 9133545247 Enrollment ID: I20200820000420 |
Provider Name | Alice Carter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073031449 PECOS PAC ID: 8729405303 Enrollment ID: I20200827001158 |
Provider Name | Elizabeth Morris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346869948 PECOS PAC ID: 7416376744 Enrollment ID: I20201006000643 |
Provider Name | Holly Poplin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134736309 PECOS PAC ID: 2264842236 Enrollment ID: I20201102002157 |
Provider Name | Christine Ella Lindsay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659865129 PECOS PAC ID: 9739410481 Enrollment ID: I20201124001526 |
Provider Name | Gerri A Kukucka |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740888262 PECOS PAC ID: 1951714260 Enrollment ID: I20210106000318 |
Provider Name | Candice Elaine Gilliland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063003440 PECOS PAC ID: 6800202698 Enrollment ID: I20210302001762 |
Provider Name | Hristina Dixon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184216665 PECOS PAC ID: 4688082696 Enrollment ID: I20210412002076 |
Provider Name | Elijah Emmanuel Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437793809 PECOS PAC ID: 5294135562 Enrollment ID: I20210609000765 |
Provider Name | Madhuri Khadka |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710591706 PECOS PAC ID: 4981000783 Enrollment ID: I20210902000507 |
Provider Name | Leslie Ann Driggers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992355770 PECOS PAC ID: 5395179287 Enrollment ID: I20210914003726 |
Provider Name | Veronica Stevenson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093248551 PECOS PAC ID: 4082003546 Enrollment ID: I20211123000608 |
Provider Name | Shaniya Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497422331 PECOS PAC ID: 2769872878 Enrollment ID: I20211203002085 |
Provider Name | Charlene Dorsey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700263555 PECOS PAC ID: 7810274024 Enrollment ID: I20220210001418 |
Provider Name | Marize Michel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972121507 PECOS PAC ID: 7012301781 Enrollment ID: I20220222002039 |
Provider Name | Elizabeth Ireland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104570274 PECOS PAC ID: 5395130512 Enrollment ID: I20220324001398 |
Provider Name | Kwajaleyn Herbresha Myers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831843820 PECOS PAC ID: 3375921752 Enrollment ID: I20220526001932 |
Provider Name | Cynthia J Martinez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790438935 PECOS PAC ID: 4082092366 Enrollment ID: I20220526002033 |
Provider Name | Rachel A Fox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376041442 PECOS PAC ID: 6103188602 Enrollment ID: I20220527001834 |
Provider Name | Curt H Grob |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396822391 PECOS PAC ID: 5698154961 Enrollment ID: I20220616000075 |
Provider Name | Frank Anthony Difazio |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1518073972 PECOS PAC ID: 2163544487 Enrollment ID: I20220621002871 |
Provider Name | Anne Mutter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801566146 PECOS PAC ID: 2860871472 Enrollment ID: I20220628000347 |
Provider Name | Betsy L Paul |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093454100 PECOS PAC ID: 1759762370 Enrollment ID: I20220713003650 |
Provider Name | Christina B Stone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356644322 PECOS PAC ID: 9436399144 Enrollment ID: I20220825004301 |
Provider Name | Elizabeth Glauser |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205560679 PECOS PAC ID: 5991180028 Enrollment ID: I20220909002462 |
Provider Name | Ashley Rene Sikes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538872643 PECOS PAC ID: 0244605780 Enrollment ID: I20230413002956 |
Provider Name | Rachael Lynn Dorsey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881174613 PECOS PAC ID: 5890150064 Enrollment ID: I20230424001795 |
Provider Name | Sandra A Valentine |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386671121 PECOS PAC ID: 3577556844 Enrollment ID: I20230728001223 |
Provider Name | Michael Joseph Geoffrion |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437627320 PECOS PAC ID: 5092051821 Enrollment ID: I20231009002904 |
Provider Name | Kayla A Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821770975 PECOS PAC ID: 3274988910 Enrollment ID: I20231016001504 |
Provider Name | Frank Y Yang |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1538163142 PECOS PAC ID: 3779542626 Enrollment ID: I20231108001665 |
Provider Name | Mary Cade Keigans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760106835 PECOS PAC ID: 6305295627 Enrollment ID: I20231212003558 |
Provider Name | Donnell R Mace |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366547507 PECOS PAC ID: 8022452234 Enrollment ID: I20240215002424 |
Provider Name | Kathryn Veazey |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1235557372 PECOS PAC ID: 7214236249 Enrollment ID: I20240306001344 |
Provider Name | Kelly Young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831950773 PECOS PAC ID: 8224477856 Enrollment ID: I20240416001987 |
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