The Ryan White Wellness Center | |
1481 Tobias Gadson Blvd Suite 1 Charleston SC 29407-4794 | |
(843) 402-3093 | |
(843) 402-3094 |
Full Name | The Ryan White Wellness Center |
---|---|
Speciality | Internal Medicine |
Location | 1481 Tobias Gadson Blvd, Charleston, South Carolina |
Authorized Official Name and Position | William Anthony Jackson (CEO) |
Authorized Official Contact | 8437242954 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
The Ryan White Wellness Center Po Box 751649 Charlotte NC 28275-1649 Ph: (888) 472-0043 | The Ryan White Wellness Center 1481 Tobias Gadson Blvd Suite 1 Charleston SC 29407-4794 Ph: (843) 402-3093 |
NPI Number | 1104150739 |
---|---|
Provider Enumeration Date | 09/30/2009 |
Last Update Date | 03/17/2024 |
Medicare PECOS PAC ID | 8426958919 |
---|---|
Medicare Enrollment ID | O20041228000500 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104150739 | NPI | - | NPPES |
083 | Other | SC | BCBS SC AND BLUECHOICE SUFIX |
GP5274 | Medicaid | SC | |
088/093 | Other | SC | TRICARE SUFFIX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (South Carolina) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | (South Carolina) | Primary |
Provider Name | John M Ernst |
---|---|
Provider Type | Practitioner - Hand Surgery |
Provider Identifiers | NPI Number: 1619902905 PECOS PAC ID: 0244126720 Enrollment ID: I20040223000700 |
Provider Name | James J Carswell |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1720038805 PECOS PAC ID: 1557353893 Enrollment ID: I20040330000809 |
Provider Name | Bryan Henry Frain |
---|---|
Provider Type | Practitioner - Cardiac Electrophysiology |
Provider Identifiers | NPI Number: 1053377507 PECOS PAC ID: 3870570575 Enrollment ID: I20040701000101 |
Provider Name | Brett Matthew Baker |
---|---|
Provider Type | Practitioner - Cardiac Electrophysiology |
Provider Identifiers | NPI Number: 1861458853 PECOS PAC ID: 9739166588 Enrollment ID: I20040701000119 |
Provider Name | Sarbabi Masindet |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1457464471 PECOS PAC ID: 2668431636 Enrollment ID: I20041006000007 |
Provider Name | Lance Lee Davis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003864521 PECOS PAC ID: 1557327905 Enrollment ID: I20041207000783 |
Provider Name | Jeffrey S Rieder |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1255397519 PECOS PAC ID: 7315915105 Enrollment ID: I20050310000742 |
Provider Name | Donald E Saunders |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1861485088 PECOS PAC ID: 2163476268 Enrollment ID: I20050311000098 |
Provider Name | Scott Latimer Woodfield |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1568455723 PECOS PAC ID: 6901850007 Enrollment ID: I20050311000158 |
Provider Name | Kenneth H Hanger |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1992798235 PECOS PAC ID: 1850350778 Enrollment ID: I20050311000215 |
Provider Name | William B Ellison |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1356307318 PECOS PAC ID: 1557315579 Enrollment ID: I20050311000299 |
Provider Name | Lars Hokan Runquist |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1821054537 PECOS PAC ID: 7416901434 Enrollment ID: I20050311000328 |
Provider Name | Robert A Pringle |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1124011424 PECOS PAC ID: 6800840836 Enrollment ID: I20050311000394 |
Provider Name | Gregory B Miller |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1770688764 PECOS PAC ID: 8325095334 Enrollment ID: I20050401000491 |
Provider Name | William J Grossman |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1023068897 PECOS PAC ID: 5597754101 Enrollment ID: I20050405001213 |
Provider Name | Barbara P Hildreth |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043275357 PECOS PAC ID: 4183668361 Enrollment ID: I20050617000885 |
Provider Name | Theresa W Dryden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164408233 PECOS PAC ID: 2961491766 Enrollment ID: I20070208000152 |
Provider Name | Graham C Scott |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1265481303 PECOS PAC ID: 2860596608 Enrollment ID: I20070426000040 |
Provider Name | Hamid R Bahadori |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1861571887 PECOS PAC ID: 4587765219 Enrollment ID: I20070725000596 |
Provider Name | Matthew B O'steen |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1346285087 PECOS PAC ID: 0446263644 Enrollment ID: I20070808000257 |
Provider Name | Troy A Bunting |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1558588962 PECOS PAC ID: 5597859215 Enrollment ID: I20070925000551 |
Provider Name | Toby Lynn Fugate |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1295870186 PECOS PAC ID: 6709853948 Enrollment ID: I20071108000548 |
Provider Name | Nancey Trevanian Tsai |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1205938040 PECOS PAC ID: 3779581244 Enrollment ID: I20071227000600 |
Provider Name | Scott D Ross |
---|---|
Provider Type | Practitioner - Cardiac Surgery |
Provider Identifiers | NPI Number: 1164413563 PECOS PAC ID: 9830124411 Enrollment ID: I20080102000014 |
Provider Name | Byron N Bailey |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1508804857 PECOS PAC ID: 6204917040 Enrollment ID: I20080117000429 |
Provider Name | Dowse Rustin |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1720070758 PECOS PAC ID: 3971577180 Enrollment ID: I20080702000709 |
Provider Name | Robert G Quattlebaum |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083704175 PECOS PAC ID: 3577639095 Enrollment ID: I20080908000343 |
Provider Name | Roy W King |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1861447443 PECOS PAC ID: 1850390147 Enrollment ID: I20081119000755 |
Provider Name | Jason E Gunn |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386760080 PECOS PAC ID: 7810045770 Enrollment ID: I20090501000447 |
Provider Name | James S Hawk |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629293212 PECOS PAC ID: 8729131347 Enrollment ID: I20090729000885 |
Provider Name | Jennifer L Lewey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275860066 PECOS PAC ID: 1254468762 Enrollment ID: I20100414000697 |
Provider Name | John Albert Mitchell |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1205886124 PECOS PAC ID: 6204993496 Enrollment ID: I20100615000461 |
Provider Name | Cynthia Heldrich |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1841247707 PECOS PAC ID: 4688705882 Enrollment ID: I20100702000371 |
Provider Name | William T Dawson |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1548210982 PECOS PAC ID: 2769549955 Enrollment ID: I20100924000435 |
Provider Name | Thomas Corbett Appleby |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1801985007 PECOS PAC ID: 3971569468 Enrollment ID: I20100924000515 |
Provider Name | Steve E Herndon |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861516668 PECOS PAC ID: 4688790421 Enrollment ID: I20100929000619 |
Provider Name | Jason Huet |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1841415155 PECOS PAC ID: 5294920062 Enrollment ID: I20101108000309 |
Provider Name | James L Bumgartner |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1477522845 PECOS PAC ID: 7416131032 Enrollment ID: I20110406000390 |
Provider Name | Charles Jervey |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1801865365 PECOS PAC ID: 5799751921 Enrollment ID: I20110510000676 |
Provider Name | Sherry Z Ikalowych |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366419624 PECOS PAC ID: 2365468915 Enrollment ID: I20120112000871 |
Provider Name | James T Reed |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1578609699 PECOS PAC ID: 3678641958 Enrollment ID: I20120208000023 |
Provider Name | Lauren Dubose Neese |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427320068 PECOS PAC ID: 6002075538 Enrollment ID: I20120301000935 |
Provider Name | Jessica Michelle Chepa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629327713 PECOS PAC ID: 4587814140 Enrollment ID: I20121017000628 |
Provider Name | Corynne A Boyer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912138983 PECOS PAC ID: 1153477070 Enrollment ID: I20121101000445 |
Provider Name | Mary K Logan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235576810 PECOS PAC ID: 9436392628 Enrollment ID: I20130909000433 |
Provider Name | Deborah E Still |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568788867 PECOS PAC ID: 2163666934 Enrollment ID: I20130917000413 |
Provider Name | Todd J Metz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588092662 PECOS PAC ID: 0244461606 Enrollment ID: I20140327001598 |
Provider Name | Pamela L Eliason |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346453065 PECOS PAC ID: 4688806565 Enrollment ID: I20140408000305 |
Provider Name | Katherine A Minnick |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1649276502 PECOS PAC ID: 3375775844 Enrollment ID: I20140415002131 |
Provider Name | Sandra S Munaco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225448723 PECOS PAC ID: 0840414983 Enrollment ID: I20140612000102 |
Provider Name | Vishal Abiraj |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356652283 PECOS PAC ID: 8820239783 Enrollment ID: I20140814000873 |
Provider Name | Stephanie A James |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982043717 PECOS PAC ID: 9234350497 Enrollment ID: I20141031002244 |
Provider Name | James Willis Fitzpatrick |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760475859 PECOS PAC ID: 3577522663 Enrollment ID: I20141208001640 |
Provider Name | Kayla C Hanks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861895393 PECOS PAC ID: 2466776331 Enrollment ID: I20150123001967 |
Provider Name | Monique Kaur Sandhu |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1306043823 PECOS PAC ID: 6709103385 Enrollment ID: I20150318002467 |
Provider Name | Minh K Tran |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1346477494 PECOS PAC ID: 7618280603 Enrollment ID: I20150720003104 |
Provider Name | David J Powell |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1043539406 PECOS PAC ID: 5294975496 Enrollment ID: I20150906000000 |
Provider Name | Sandra S Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023484946 PECOS PAC ID: 6901109214 Enrollment ID: I20160120002100 |
Provider Name | Nicholas Kevin Batchelor |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1831266956 PECOS PAC ID: 5597996942 Enrollment ID: I20160518001262 |
Provider Name | William Dana Largen |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1336435205 PECOS PAC ID: 0840411740 Enrollment ID: I20160602000980 |
Provider Name | William S Ashwander |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1649414970 PECOS PAC ID: 3870739527 Enrollment ID: I20160714001805 |
Provider Name | Shari D Hulbert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235114455 PECOS PAC ID: 7517251697 Enrollment ID: I20160812000265 |
Provider Name | Romina Ilic |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1619143898 PECOS PAC ID: 6305096967 Enrollment ID: I20170612000047 |
Provider Name | Muhammad A Rashad |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083843304 PECOS PAC ID: 5991010217 Enrollment ID: I20170822000234 |
Provider Name | Moshe Mark Douglas Wexler |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1801858865 PECOS PAC ID: 2062794373 Enrollment ID: I20180320000000 |
Provider Name | Mary Elizabeth Hanley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285678433 PECOS PAC ID: 4284710542 Enrollment ID: I20180613002140 |
Provider Name | Selena O. Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346737673 PECOS PAC ID: 8426303843 Enrollment ID: I20180626000831 |
Provider Name | Eunice Luz Guzman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043508708 PECOS PAC ID: 0244540979 Enrollment ID: I20180629002108 |
Provider Name | Patrick Michael Looser |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1508165291 PECOS PAC ID: 2163779190 Enrollment ID: I20180723002445 |
Provider Name | Michael E Field |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1033192802 PECOS PAC ID: 7113818170 Enrollment ID: I20180911000661 |
Provider Name | Erin R Mcbride |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841754595 PECOS PAC ID: 7719226992 Enrollment ID: I20190306000477 |
Provider Name | Craig Anthony Schuring |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1447698360 PECOS PAC ID: 4981847464 Enrollment ID: I20190612002339 |
Provider Name | Craig Anthony Schuring |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1447698360 PECOS PAC ID: 4981847464 Enrollment ID: I20190612003780 |
Provider Name | Geetha F Pinto |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1831350073 PECOS PAC ID: 3870779440 Enrollment ID: I20190702003181 |
Provider Name | Adrianna Elyzabeth Matusiak |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518525393 PECOS PAC ID: 1557690294 Enrollment ID: I20190905003298 |
Provider Name | Kathryn Marie Aimar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720625783 PECOS PAC ID: 6709211964 Enrollment ID: I20200115002651 |
Provider Name | Chelsey A D Massey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932747748 PECOS PAC ID: 5597190595 Enrollment ID: I20200122000871 |
Provider Name | Jason L Foster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356973820 PECOS PAC ID: 3476982026 Enrollment ID: I20200401003167 |
Provider Name | Lauren E Doyle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710519939 PECOS PAC ID: 7012346166 Enrollment ID: I20200410002039 |
Provider Name | Kenneth Michael Desart |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1154556603 PECOS PAC ID: 9032352752 Enrollment ID: I20200515002279 |
Provider Name | Layne Alan Madden |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1346635612 PECOS PAC ID: 3173826070 Enrollment ID: I20200727002814 |
Provider Name | Kimberly Michelle Richardson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336741560 PECOS PAC ID: 9931510740 Enrollment ID: I20201201000182 |
Provider Name | Sierra Katie Burgan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902495005 PECOS PAC ID: 7113331554 Enrollment ID: I20210127000532 |
Provider Name | Jayne M Donovan |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1407172794 PECOS PAC ID: 6305003740 Enrollment ID: I20210324002494 |
Provider Name | Michael D Moxley |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1437147758 PECOS PAC ID: 9931116662 Enrollment ID: I20210604002048 |
Provider Name | Jonathan Paul Rehfuss |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1023370863 PECOS PAC ID: 8729217575 Enrollment ID: I20210720000809 |
Provider Name | Blase Anthony Carabello |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1720092562 PECOS PAC ID: 9537336441 Enrollment ID: I20211207000360 |
Provider Name | Heather Nicole Fabel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275298945 PECOS PAC ID: 9830580158 Enrollment ID: I20211221002395 |
Provider Name | Emily Jeanne Culpepper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548854466 PECOS PAC ID: 2860884285 Enrollment ID: I20220115000192 |
Provider Name | Alison Marie Bondell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013551332 PECOS PAC ID: 1850787482 Enrollment ID: I20220408000111 |
Provider Name | William Foster Gaillard |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1619315918 PECOS PAC ID: 1850535899 Enrollment ID: I20220428002845 |
Provider Name | Hannah Mulliken Whitesides |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376280198 PECOS PAC ID: 7810372141 Enrollment ID: I20220922000431 |
Provider Name | Donald Frederick Bruner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114641289 PECOS PAC ID: 1052773819 Enrollment ID: I20230811000327 |
Provider Name | Stephen Harden |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1043623135 PECOS PAC ID: 3274883780 Enrollment ID: I20230817003852 |
Provider Name | Robert Wallace Williams Biederman |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1912907734 PECOS PAC ID: 4284728189 Enrollment ID: I20240227003147 |
Provider Name | Leigh Ann Garbett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588416580 PECOS PAC ID: 3173965308 Enrollment ID: I20240520003020 |
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 | |
Musc Physicians Pcp Peninsular Charleston Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Bee St, Suite 2100, Charleston, SC 29403 Phone: 843-792-6500 | |
Roper St. Francis Hospitalist Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-724-2450 Fax: 843-724-2455 | |
Jeffrey Akhtar Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2270 Ashley Crossing Dr Ste 155, Charleston, SC 29414 Phone: 843-990-5866 Fax: 843-868-8041 | |
Musc Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2060 Sam Rittenburg Blvd, Charleston, SC 29425 Phone: 843-792-6200 | |
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: Not Enrolled in Medicare Practice Location: 2333 Ashley River Rd, Charleston, SC 29414 Phone: 877-367-9772 |