| Dr Selom Kwame Avotri, MD | |
|
701 Grove Rd, Greenville, SC 29605-4210 | |
| (864) 455-5198 | |
| (864) 455-5474 |
| Full Name | Dr Selom Kwame Avotri |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 7 Years |
| Location | 701 Grove Rd, Greenville, 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 |
|---|---|---|---|
| 1154814721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 88223 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Rockdale Hospital | Conyers, GA | Hospital |
| Eastside Medical Center | Snellville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Walker Lake Emergency Group Pc | 0840531919 | 24 |
| Acs Primary Care Physicians - Southeast Pc | 5193620714 | 354 |
| Entity Name | Acs Primary Care Physicians - Southeast Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
| Entity Name | Walker Lake Emergency Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437629342 PECOS PAC ID: 0840531919 Enrollment ID: O20190418001186 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Selom Kwame Avotri, MD 701 Grove Rd, Greenville, SC 29605-4210 Ph: (864) 455-5198 | Dr Selom Kwame Avotri, MD 701 Grove Rd, Greenville, SC 29605-4210 Ph: (864) 455-5198 |
Dr. Amber Gist Laney, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474 | |
Dr. Brent Alexander Oldham, MD, MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474 | |
Matthew Lewis Mullins, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474 | |
Christopher Steven Vega, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-6371 | |
Dr. Ronald Gerard Pirrallo, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474 | |
Dr. Frank J Ferlisi, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7157 | |
Dr. Kevin John Gregg, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Department Of Emergency Medicine, Greenville, SC 29605 Phone: 864-455-7157 |