| Dr Ebenezer Yaw-obeng Mante, MD | |
|
834 W Meeting St, Suite C, Lancaster, SC 29720-6251 | |
| (803) 313-3846 | |
| Not Available |
| Full Name | Dr Ebenezer Yaw-obeng Mante |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 834 W Meeting St, Lancaster, 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 |
|---|---|---|---|
| 1396780953 | NPI | - | NPPES |
| 29696 | Other | SC | MEDICAL LICENSE |
| 5907410 | Medicaid | NC | |
| 296968 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 29696 (South Carolina) | Primary |
| Entity Name | Mcleod Loris Seacoast Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265708119 PECOS PAC ID: 9133394398 Enrollment ID: O20120710000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ebenezer Yaw-obeng Mante, MD 834 W Meeting St, Suite C, Lancaster, SC 29720-6251 Ph: (803) 313-3846 | Dr Ebenezer Yaw-obeng Mante, MD 834 W Meeting St, Suite C, Lancaster, SC 29720-6251 Ph: (803) 313-3846 |
Darniya P Belton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 838 W Meeting St, Suite B, Lancaster, SC 29720 Phone: 803-285-2700 Fax: 803-285-2707 | |
Dr. Sandra Moreno-hussey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 838 West Meeting Street, Suite A, Lancaster, SC 29720 Phone: 803-416-5295 Fax: 803-416-5240 | |
Dr. Carmina Cargo Cruz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1228 Colonial Commons Ct, Suite 231, Lancaster, SC 29720 Phone: 803-289-5437 Fax: 803-289-5440 | |
Dr. William A Chinery, MD,MRCPCH,FAAP Pediatrics Medicare: Medicare Enrolled Practice Location: 838 W Meeting St, Suite E, Lancaster, SC 29720 Phone: 803-285-2244 Fax: 803-285-2299 | |
Dr. Sibonokuhle Tizora, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 703 N White St, Lancaster, SC 29720 Phone: 803-285-2273 |