| Dr Christopher Chukwuemeka Ezeihuaku, MD | |
|
203 Longcreek Plantation Dr, Blythewood, SC 29016-7138 | |
| (803) 708-8856 | |
| Not Available |
| Full Name | Dr Christopher Chukwuemeka Ezeihuaku |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 38 Years |
| Location | 203 Longcreek Plantation Dr, Blythewood, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275672099 | NPI | - | NPPES |
| 287987 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 28798 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grand Strand Regional Medical Center | Myrtle beach, SC | Hospital |
| Musc Medical Center | Charleston, SC | Hospital |
| Harris Regional Hospital | Sylva, NC | Hospital |
| Person Memorial Hospital | Roxboro, NC | Hospital |
| Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Hospitalist Services Pc | 3476855420 | 306 |
| Southeastern Medical Group Pc | 8921030719 | 36 |
| Musc Community Physicians | 6507260668 | 1322 |
| Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 801 |
| Southeastern Hospitalist Services Pc | 3476855420 | 306 |
| Entity Name | Cooperative Healthcare Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222 |
| Entity Name | Tift Regional Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064 |
| Entity Name | Southeastern Hospitalist Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003280108 PECOS PAC ID: 3476855420 Enrollment ID: O20160107001140 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher Chukwuemeka Ezeihuaku, MD 203 Longcreek Plantation Dr, Blythewood, SC 29016-7138 Ph: (803) 708-8856 | Dr Christopher Chukwuemeka Ezeihuaku, MD 203 Longcreek Plantation Dr, Blythewood, SC 29016-7138 Ph: (803) 708-8856 |
Shamyia Carter, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 423 Main St Apt 116, Blythewood, SC 29016 Phone: 839-250-9433 |