| Dr Brent T Folsom, MD | |
|
5046 Highway 17 Byp S Ste 200, Myrtle Beach, SC 29588-4503 | |
| (843) 839-3501 | |
| Not Available |
| Full Name | Dr Brent T Folsom |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 5046 Highway 17 Byp S Ste 200, Myrtle Beach, 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 |
|---|---|---|---|
| 1851928410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 207N00000X (South Carolina) | Primary |
| Entity Name | Waccamaw Dermatology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962449181 PECOS PAC ID: 7315021169 Enrollment ID: O20080303000763 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brent T Folsom, MD 890 Birds Ml Se, Marietta, GA 30067-5139 Ph: (616) 581-1913 | Dr Brent T Folsom, MD 5046 Highway 17 Byp S Ste 200, Myrtle Beach, SC 29588-4503 Ph: (843) 839-3501 |
Dr. Joan M Wiss, MD Dermatology Medicare: Medicare Enrolled Practice Location: 506 2nd Ave N, Myrtle Beach, SC 29577 Phone: 843-796-7422 Fax: 877-817-3832 | |
Dr. Robert Scott Purvis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3001 Newcastle Loop, Attn: Lisa Bass, Myrtle Beach, SC 29588 Phone: 843-215-1100 Fax: 843-215-1211 | |
Richard Joseph Lucariello, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5046 Highway 17 Byp S Ste 200, Myrtle Beach, SC 29588 Phone: 843-449-0453 | |
Dr. Michael Robert Centilli, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 199 Village Center Blvd Ste 200, Myrtle Beach, SC 29579 Phone: 843-738-0500 Fax: 437-380-5058 | |
Christopher Brian Skvarka, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3001 Newcastle Loop, Attn: Lisa Bass, Myrtle Beach, SC 29588 Phone: 843-215-1100 Fax: 843-215-1211 | |
Daniel B Ward Jr., M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 8208 Devon Ct, Suite B, Myrtle Beach, SC 29572 Phone: 866-985-3376 Fax: 843-839-2464 | |
Taylor Todd, NP-C Dermatology Medicare: Medicare Enrolled Practice Location: 917 Medical Cir, Myrtle Beach, SC 29572 Phone: 843-449-0453 |