Collin Homer-bouthiette, | |
1333 Taylor St Ste 6f, Columbia, SC 29201-2953 | |
(803) 296-3273 | |
(803) 296-7061 |
Full Name | Collin Homer-bouthiette |
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Gender | Male |
Speciality | Internal Medicine - Pulmonary Disease |
Location | 1333 Taylor St Ste 6f, 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 |
---|---|---|---|
1447815303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 1015619 (Massachusetts) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | 94122 (South Carolina) | Primary |
Entity Name | Lahey Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
Entity Name | Lahey Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
Mailing Address | Practice Location Address |
---|---|
Collin Homer-bouthiette, 300 E Mcbee Ave Ste 300, Greenville, SC 29601-2899 Ph: (864) 522-8611 | Collin Homer-bouthiette, 1333 Taylor St Ste 6f, Columbia, SC 29201-2953 Ph: (803) 296-3273 |
William Cole Andrew, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203 Phone: 803-434-8721 | |
Seetharamprasad Madala, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1801 Sunset Dr, Columbia, SC 29203 Phone: 803-434-4153 Fax: 803-434-4160 | |
Michael Martin, Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 2 Medical Park Rd, Columbia, SC 29203 Phone: 803-434-6956 | |
Dr. Terry A Grainger, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203 Phone: 803-434-3800 Fax: 803-744-2759 | |
Dr. Adelero Olayinka Adebajo, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1520 Laurel St, Columbia, SC 29201 Phone: 803-799-8407 Fax: 803-252-9070 | |
James Pratt Iii, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1801 Sunset Dr, Columbia, SC 29203 Phone: 803-434-4153 | |
Jeff Z Brooker Jr., MD, RETIRED Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1625 Bernardin Ave, Columbia, SC 29204 Phone: 803-251-8985 |