| Dr Addison Graves Wilson Jr, MD | |
|
1 Pinckney Blvd, Beaufort, SC 29902-6122 | |
| (843) 228-5455 | |
| Not Available |
| Full Name | Dr Addison Graves Wilson Jr |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 1 Pinckney Blvd, Beaufort, 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 |
|---|---|---|---|
| 1770660060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD40144 (South Carolina) | Primary |
| Entity Name | The Regional Medical Center Of Orangeburg And Calhoun Counties |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922063858 PECOS PAC ID: 8527970771 Enrollment ID: O20040112000062 |
| Entity Name | Grand Strand Specialty Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821398512 PECOS PAC ID: 0648451344 Enrollment ID: O20110301000770 |
| 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 |
|---|---|
| Dr Addison Graves Wilson Jr, MD 1 Pinckney Blvd, Beaufort, SC 29902-6122 Ph: (843) 228-5455 | Dr Addison Graves Wilson Jr, MD 1 Pinckney Blvd, Beaufort, SC 29902-6122 Ph: (843) 228-5455 |
Dr. John Scott Donoughe, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1 Pinckney Blvd, Beaufort, SC 29902 Phone: 843-228-5455 | |
Douglas A Scott, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1076 Ribaut Rd Ste 101, Beaufort, SC 29902 Phone: 843-525-0045 Fax: 843-525-0826 | |
Dr. Leland Crumpton Stoddard Jr., M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: Beaufort Memorial Orthopaedic Specialists, 300 Midtown Dr, Beaufort, SC 29906 Phone: 843-522-7100 Fax: 844-296-2303 | |
Dr. Reed M Heckert, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1 Pinckney Blvd, Beaufort, SC 29902 Phone: 843-228-5600 | |
Dr. Daniel John Delgaizo, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1076 Ribaut Rd Ste 101, Beaufort, SC 29902 Phone: 843-525-0045 Fax: 843-525-0826 | |
Patrick Pallitto, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1076 Ribaut Rd Ste 101, Beaufort, SC 29902 Phone: 843-525-0045 | |
Dr. Ralph F Salzer, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1076 Ribaut Rd, Suite 101, Beaufort, SC 29902 Phone: 843-525-0045 Fax: 843-525-0826 |