| Heather Rene Richardson, DO | |
|
5000 Epson Plantation Dr Ste B, Moncks Corner, SC 29461-3979 | |
| (843) 876-2951 | |
| (843) 663-8166 |
| Full Name | Heather Rene Richardson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 5000 Epson Plantation Dr Ste B, Moncks Corner, 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 Rene Richardson, DO 5000 Epson Plantation Dr Ste B, Moncks Corner, SC 29461-3979 Ph: (843) 876-2951 | Heather Rene Richardson, DO 5000 Epson Plantation Dr Ste B, Moncks Corner, SC 29461-3979 Ph: (843) 876-2951 |
Christine Canivan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5000 Epson Plantation Dr Ste B, Moncks Corner, SC 29461 Phone: 843-792-1414 | |
Dr. Joseph Carlisle Moore Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 730 Stoney Landing Rd, Suite 200, Moncks Corner, SC 29461 Phone: 843-761-2000 Fax: 843-761-1388 | |
Edward Johnson Jones Iii, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 115 Executive Parkway, Moncks Corner, SC 29461 Phone: 843-761-2815 Fax: 843-869-8034 |