Dr Alfonso L Sangtian Jr, MD | |
8030 Myrtle Trace Dr, Conway, SC 29526-8957 | |
(843) 347-4677 | |
(843) 347-4678 |
Full Name | Dr Alfonso L Sangtian Jr |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 45 Years |
Location | 8030 Myrtle Trace Dr, Conway, South Carolina |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598766529 | NPI | - | NPPES |
166055 | Medicaid | SC | |
16605 | Other | SC | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 16605 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Coastal Pediatrics | 8527125046 | 2 |
Entity Name | Coastal Pediatrics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659382067 PECOS PAC ID: 8527125046 Enrollment ID: O20090326000496 |
Entity Name | Careteam Plus Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427363209 PECOS PAC ID: 2961678289 Enrollment ID: O20120106000726 |
Mailing Address | Practice Location Address |
---|---|
Dr Alfonso L Sangtian Jr, MD 8030 Myrtle Trace Dr, Conway, SC 29526-8957 Ph: (843) 347-4677 | Dr Alfonso L Sangtian Jr, MD 8030 Myrtle Trace Dr, Conway, SC 29526-8957 Ph: (843) 347-4677 |
Danika Lauren Alexander Borden, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Singleton Ridge Rd Ofc, Conway, SC 29526 Phone: 843-347-7111 | |
Ashwin Attiguppam Mallikarjun, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1608 Main St, Conway, SC 29526 Phone: 843-248-4700 Fax: 843-248-3145 | |
Mrs. Isabella Andrea Vallenilla Gallardo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-7111 | |
Dr. Stephen Alexander Corontzes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-9099 Fax: 843-347-9029 | |
Eugenia Gainzeo Cooper-merchant, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Professional Park Dr, Conway, SC 29526 Phone: 843-234-0005 | |
Krystin Monet Jack, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-234-5139 |