| Dr Vernon Charlton Whitley, MD | |
| 10706 Marlboro Ave, Barnwell, SC 29812-6376 | |
| (803) 259-7337 | |
| (803) 259-9505 | 
| Full Name | Dr Vernon Charlton Whitley | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 10706 Marlboro Ave, Barnwell, 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 | 
|---|---|---|---|
| 1295818987 | NPI | - | NPPES | 
| 184981 | Medicaid | SC | |
| SCC997 | Other | SC | MEDICARE | 
| 18498 | Other | SC | MEDICAL LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 18498 (South Carolina) | Primary | 
| Entity Name | Low Country Health Care System Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053475566 PECOS PAC ID: 4284530940 Enrollment ID: O20031211000944 | 
| Entity Name | Low Country Health Care System Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1578659942 PECOS PAC ID: 4284530940 Enrollment ID: O20160524000583 | 
| Entity Name | Low Country Health Care System Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1235225608 PECOS PAC ID: 4284530940 Enrollment ID: O20160606001593 | 
| Entity Name | Low Country Health Care System Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1821518556 PECOS PAC ID: 4284530940 Enrollment ID: O20181220002947 | 
| Entity Name | Low Country Health Care System Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780112912 PECOS PAC ID: 4284530940 Enrollment ID: O20190610001031 | 
| Entity Name | Low Country Health Care System Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306378310 PECOS PAC ID: 4284530940 Enrollment ID: O20200107003426 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Vernon Charlton Whitley, MD 86 Wren St, Barnwell, SC 29812-1529 Ph: (803) 259-5762 | Dr Vernon Charlton Whitley, MD 10706 Marlboro Ave, Barnwell, SC 29812-6376 Ph: (803) 259-7337 | 
| Dr. Bryan A. Burnett, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10706 Marlboro Ave, Barnwell, SC 29812 Phone: 803-259-7337 Fax: 803-259-9505 | |
| Dr. Abe H. Moskow Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10706 Marlboro Ave, Barnwell, SC 29812 Phone: 803-259-7337 Fax: 803-259-3250 |