| Sc Med Llc | |
|
10436 Winslet Dr Charlotte NC 28277-2956 | |
| (702) 742-2036 | |
| Not Available |
| Full Name | Sc Med Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10436 Winslet Dr, Charlotte, North Carolina |
| Authorized Official Name and Position | Lavaniya Beesley (MEMBER) |
| Authorized Official Contact | 7027422036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sc Med Llc 10436 Winslet Dr Charlotte NC 28277-2956 Ph: (702) 742-2036 | Sc Med Llc 10436 Winslet Dr Charlotte NC 28277-2956 Ph: (702) 742-2036 |
| NPI Number | 1083137616 |
|---|---|
| Provider Enumeration Date | 07/25/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4789959156 |
|---|---|
| Medicare Enrollment ID | O20220420001621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083137616 | NPI | - | NPPES |
| SCA2449074 | Other | SC | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD40247 (South Carolina) | Primary |
| Provider Name | Lavaniya Beesley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972882827 PECOS PAC ID: 8426270695 Enrollment ID: I20170524000914 |
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