Palmetto Geriatrics, Llc | |
107 S Franklin Dr Florence SC 29501-4364 | |
(843) 758-4043 | |
(888) 557-1131 |
Full Name | Palmetto Geriatrics, Llc |
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Speciality | Internal Medicine |
Location | 107 S Franklin Dr, Florence, South Carolina |
Authorized Official Name and Position | Brian Mchugh (CEO) |
Authorized Official Contact | 8437584043 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Palmetto Geriatrics, Llc 107 S Franklin Dr Florence SC 29501-4364 Ph: (843) 758-4043 | Palmetto Geriatrics, Llc 107 S Franklin Dr Florence SC 29501-4364 Ph: (843) 758-4043 |
NPI Number | 1396178547 |
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Provider Enumeration Date | 08/12/2013 |
Last Update Date | 07/27/2020 |
Medicare PECOS PAC ID | 4385860402 |
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Medicare Enrollment ID | O20140726000089 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396178547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Daniel Ray Crow |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1033141247 PECOS PAC ID: 1153367495 Enrollment ID: I20050708000011 |
Provider Name | Gwendell M Kelley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194222539 PECOS PAC ID: 3072867217 Enrollment ID: I20181107000815 |
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