| Charles L Gaillard, MD | |
|
526 North St, Bamberg, SC 29003-1319 | |
| (803) 245-2433 | |
| (803) 245-7424 |
| Full Name | Charles L Gaillard |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 526 North St, Bamberg, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437338068 | NPI | - | NPPES |
| 423828 | Other | SC | MEDICARE UNSPECIFIED |
| RHC151 | Medicaid | SC | |
| RHC020 | Medicaid | SC | |
| 428926 | Other | MEDICARE UNSPECIFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22444 (South Carolina) | Primary |
| Entity Name | F. Marion Dwight, Md,pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366407231 PECOS PAC ID: 7214907922 Enrollment ID: O20040729000967 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles L Gaillard, MD Po Box 524, Bamberg, SC 29003-0524 Ph: (803) 245-2433 | Charles L Gaillard, MD 526 North St, Bamberg, SC 29003-1319 Ph: (803) 245-2433 |
Danette F Mcalhaney, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 North St, Bamberg, SC 29003 Phone: 803-245-5168 Fax: 803-245-6275 | |
Dr. Kelenne V Tuitt, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 498 North St, Bamberg, SC 29003 Phone: 803-395-4497 Fax: 803-395-2237 | |
Dr. William N Braswell, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 526 North St, Bamberg, SC 29003 Phone: 803-245-2433 |