| Dr Valarian An-tawn Bruce, MD | |
|
1268 S 4th St, Hartsville, SC 29550-0703 | |
| (843) 332-3422 | |
| (843) 332-3985 |
| Full Name | Dr Valarian An-tawn Bruce |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1268 S 4th St, Hartsville, 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 |
|---|---|---|---|
| 1730476342 | NPI | - | NPPES |
| 338619 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33861 (South Carolina) | Primary |
| Entity Name | Mcleod Regional Medical Center Of The Pee Dee, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154371433 PECOS PAC ID: 7416851852 Enrollment ID: O20031126000251 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Valarian An-tawn Bruce, MD Po Box 1090, Hartsville, SC 29551-1090 Ph: (843) 857-0111 | Dr Valarian An-tawn Bruce, MD 1268 S 4th St, Hartsville, SC 29550-0703 Ph: (843) 332-3422 |
William H Long Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 W Carolina Ave, Hartsville, SC 29550 Phone: 843-917-4977 Fax: 843-917-4968 | |
Robert L Elder, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Medical Park Dr, 204, Hartsville, SC 29550 Phone: 843-383-2273 Fax: 843-383-9476 | |
Miss Kelley Marie Moody, NP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 W Carolina Ave, Hartsville, SC 29550 Phone: 843-951-9990 Fax: 843-951-9989 | |
Dr. Joseph Williamson Powell Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Medical Park Dr, Suite 305, Hartsville, SC 29550 Phone: 843-777-2800 Fax: 843-777-2808 | |
Dr. Jacob Elidge Enterkin, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550 Phone: 843-339-4790 | |
Dr. Jeniqua Jefferson Duncan, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1268 S 4th St, Hartsville, SC 29550 Phone: 843-332-3422 Fax: 843-332-3985 | |
Gary Barker, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1268 S 4th St, Hartsville, SC 29550 Phone: 843-332-3422 |