| |
2093 Henry Tecklenburg Dr Suite 307e Charleston SC 29414 | |
(843) 207-1760 | |
(843) 207-1727 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 2093 Henry Tecklenburg Dr, Charleston, South Carolina |
Authorized Official Name and Position | Robert J. Oliverio (VP/CEO RSFPP) |
Authorized Official Contact | 8437242903 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 751649 Charlotte NC 28275-1649 Ph: (843) 789-1620 | 2093 Henry Tecklenburg Dr Suite 307e Charleston SC 29414 Ph: (843) 207-1760 |
NPI Number | 1316180615 |
---|---|
Provider Enumeration Date | 04/16/2009 |
Last Update Date | 11/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316180615 | NPI | - | NPPES |
056 | Other | SC | BCBS SC SUFFIX |
115 | Other | SC | BLUECHOICE SUFFIX |
DP0704 | Other | SC | RAILROAD MEDICARE GROUP PTAN |
055 | Other | SC | TRICARE SUFFIX |
GP5139 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (South Carolina) | Secondary |
207R00000X | Internal Medicine | (South Carolina) | Primary |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2097 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-572-7727 Fax: 843-569-5881 | |
Harold R Nicolette, Do, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 Carriage Ln, Suite B, Charleston, SC 29407 Phone: 843-766-4100 Fax: 843-571-4177 | |
Empowerme Medical Group, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2333 Ashley River Rd, Charleston, SC 29414 Phone: 877-367-9772 | |
Medical University Of South Carolina Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Barre St, Charleston, SC 29401 Phone: 901-292-7077 |