| Dr Ioannis M Livaditis, MD | |
|
1315 Roberts St, Camden, SC 29020-3737 | |
| (803) 432-4311 | |
| (803) 438-4391 |
| Full Name | Dr Ioannis M Livaditis |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1315 Roberts St, Camden, 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 |
|---|---|---|---|
| 1750637633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 39388 (South Carolina) | Secondary |
| 208000000X | Pediatrics | 39388 (South Carolina) | Primary |
| Entity Name | Mcleod Physician Associates Ii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
| 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 |
| Entity Name | Mcleod Health Clarendon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508218793 PECOS PAC ID: 0840582656 Enrollment ID: O20160915000930 |
| Entity Name | Musc Community Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ioannis M Livaditis, MD 3533 S Alameda St, Corpus Christi, TX 78411-1721 Ph: () - | Dr Ioannis M Livaditis, MD 1315 Roberts St, Camden, SC 29020-3737 Ph: (803) 432-4311 |
Dr. Theodore Eugene Kalutz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1346 Haile Street, Camden, SC 29020 Phone: 803-432-1931 Fax: 803-432-1176 | |
Nichole Carlton Hill, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1346 Haile St, Camden, SC 29020 Phone: 803-432-1931 Fax: 803-432-1176 | |
Dr. Thomas Chester Joseph, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1346 Haile Street, Camden, SC 29020 Phone: 803-432-1931 Fax: 803-432-1176 | |
Dr. Earl W Bryant, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1346 Haile St, Camden, SC 29020 Phone: 803-432-1931 Fax: 803-432-1176 | |
Christopher S Chewning, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1346 Haile St, Camden, SC 29020 Phone: 803-432-1931 Fax: 803-432-1176 | |
Dr. Marguerite Mealor Carlton, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1346 Haile St, Camden, SC 29020 Phone: 803-432-1931 Fax: 803-432-1176 |