| Heather Richardson, DO | |
|
3817 Main St, Loris, SC 29569-3017 | |
| (843) 663-8013 | |
| (843) 663-8166 |
| Full Name | Heather Richardson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3817 Main St, Loris, 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 |
|---|---|---|---|
| 1750591004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 83408 (South Carolina) | Primary |
| Entity Name | Little River Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629021076 PECOS PAC ID: 2961309315 Enrollment ID: O20031215000742 |
| Entity Name | Little River Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346638483 PECOS PAC ID: 2961309315 Enrollment ID: O20170510000410 |
| Entity Name | Little River Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184783284 PECOS PAC ID: 2961309315 Enrollment ID: O20170523000231 |
| Entity Name | Little River Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619100096 PECOS PAC ID: 2961309315 Enrollment ID: O20170523001559 |
| Entity Name | Little River Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508120619 PECOS PAC ID: 2961309315 Enrollment ID: O20170524001573 |
| Entity Name | Little River Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669535225 PECOS PAC ID: 2961309315 Enrollment ID: O20170601000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Richardson, DO 1000 N 16th St, New Castle, IN 47362-4319 Ph: () - | Heather Richardson, DO 3817 Main St, Loris, SC 29569-3017 Ph: (843) 663-8013 |
Dr. Matthew G Weeks, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3655 Mitchell St, Loris, SC 29569 Phone: 843-390-8159 | |
Dr. Lillian Fong, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3617 Casey St Ste B, Loris, SC 29569 Phone: 843-716-8300 Fax: 843-716-9792 |