| Devanand Anthony Dominique, MD | |
|
3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 | |
| (803) 434-8323 | |
| (803) 434-8326 |
| Full Name | Devanand Anthony Dominique |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 3 Richland Medical Park Dr Ste 310, Columbia, 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 |
|---|---|---|---|
| 1477541456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 61330 (South Carolina) | Secondary |
| 207T00000X | Neurological Surgery | MD420830 (Pennsylvania) | Primary |
| Entity Name | Carolina Family Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627 |
| Entity Name | Musc Community Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
| Mailing Address | Practice Location Address |
|---|---|
| Devanand Anthony Dominique, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Devanand Anthony Dominique, MD 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 Ph: (803) 434-8323 |
Nathan Chadwick Davis, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 114 Gateway Corporate Blvd Ste 230, Columbia, SC 29203 Phone: 843-792-6200 | |
Karl A Lozanne, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1910 Blanding St, Columbia, SC 29201 Phone: 803-256-4107 | |
Bertram Richter, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203 Phone: 803-434-8323 Fax: 803-434-8326 | |
Roham Moftakhar, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Richland Medical Park Dr, Suite 310, Columbia, SC 29203 Phone: 803-434-8323 Fax: 803-434-8326 | |
Dr. Erwin Zeta Mangubat, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Richland Medical Park Dr, Suite 310, Columbia, SC 29203 Phone: 803-434-8323 Fax: 803-434-8326 | |
Dr. Seth Shawn Molloy, D.O., M.S. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1910 Blanding St, Columbia, SC 29201 Phone: 803-256-4107 Fax: 803-254-2825 | |
Dr. Stanley O Skarli, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 3 Richland Medical Park Dr, Columbia, SC 29203 Phone: 803-434-8323 Fax: 803-434-8326 |