| Walterboro Adult And Pediatric Medicine,llc | |
|
447 Spruce St Walterboro SC 29488-2766 | |
| (843) 549-6331 | |
| (843) 549-6332 |
| Full Name | Walterboro Adult And Pediatric Medicine,llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 447 Spruce St, Walterboro, South Carolina |
| Authorized Official Name and Position | Cathy Marie Malphrus (OFFICE MANAGER) |
| Authorized Official Contact | 8435496331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Walterboro Adult And Pediatric Medicine,llc 447 Spruce St Walterboro SC 29488-2766 Ph: (843) 549-6331 | Walterboro Adult And Pediatric Medicine,llc 447 Spruce St Walterboro SC 29488-2766 Ph: (843) 549-6331 |
| NPI Number | 1467438499 |
|---|---|
| Provider Enumeration Date | 12/21/2005 |
| Last Update Date | 06/10/2014 |
| Medicare PECOS PAC ID | 1557350808 |
|---|---|
| Medicare Enrollment ID | O20040511000750 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467438499 | NPI | - | NPPES |
| GP3911 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (South Carolina) | Primary |
| Provider Name | John G Creel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992708309 PECOS PAC ID: 0840289104 Enrollment ID: I20040517000131 |
| Provider Name | Rosie B Mincey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912350034 PECOS PAC ID: 8820374036 Enrollment ID: I20170424000713 |
| Provider Name | Erin Whittington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548642804 PECOS PAC ID: 7810274008 Enrollment ID: I20170425001806 |
| Provider Name | Kelly Ann Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104425990 PECOS PAC ID: 5496158511 Enrollment ID: I20210728000069 |
| Provider Name | Elizabeth Harrison Shuler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275243461 PECOS PAC ID: 3274724315 Enrollment ID: I20230531000914 |
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Half Dome Inpatient Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Robertson Blvd, Walterboro, SC 29488 Phone: 843-782-2000 | |
My Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Robertson Blvd, Walterboro, SC 29488 Phone: 864-213-2584 | |
Walterboro Adult & Pediatric Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 447 Spruce St, Walterboro, SC 29488 Phone: 843-549-6331 Fax: 843-782-4380 | |
Fetter Health Care Network-walterboro Site Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 302 Medical Park Dr, Suite 111, Walterboro, SC 29488 Phone: 843-549-6853 Fax: 843-549-7961 |