Regency Hospital Company Of South Carolina, L.l.c. | |
121 E Cedar St 4th And 5th Floor Florence SC 29506-2576 | |
(717) 972-1100 | |
(717) 975-9981 |
Full Name | Regency Hospital Company Of South Carolina, L.l.c. |
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Speciality | Internal Medicine |
Location | 121 E Cedar St, Florence, South Carolina |
Authorized Official Name and Position | Michael E. Tarvin (VICE PRESIDENT) |
Authorized Official Contact | 7179721100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Regency Hospital Company Of South Carolina, L.l.c. 4714 Gettysburg Rd Mechanicsburg PA 17055-4325 Ph: (717) 972-1100 | Regency Hospital Company Of South Carolina, L.l.c. 121 E Cedar St 4th And 5th Floor Florence SC 29506-2576 Ph: (717) 972-1100 |
NPI Number | 1649561549 |
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Provider Enumeration Date | 04/26/2011 |
Last Update Date | 11/03/2016 |
Medicare PECOS PAC ID | 4981673415 |
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Medicare Enrollment ID | O20091221000619 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649561549 | NPI | - | NPPES |
11067A | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208600000X | Surgery | (* (Not Available)) | Secondary |
Provider Name | John William Sonfield |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1306810718 PECOS PAC ID: 2961431028 Enrollment ID: I20050809000463 |
Provider Name | Vinod K Jona |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1154361723 PECOS PAC ID: 0345397030 Enrollment ID: I20090415000580 |
Provider Name | James Rex Mcnutt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790088623 PECOS PAC ID: 1850512393 Enrollment ID: I20141024002058 |
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