| John A Traynham, MD | |
|
1871 Savage Rd, Charleston, SC 29407 | |
| (843) 766-6308 | |
| (843) 766-8756 |
| Full Name | John A Traynham |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1871 Savage Rd, Charleston, 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 |
|---|---|---|---|
| 1073562500 | NPI | - | NPPES |
| T59834 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 21877 (South Carolina) | Primary |
| Entity Name | Musc Affiliate Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700465648 PECOS PAC ID: 6305241027 Enrollment ID: O20210818002996 |
| Mailing Address | Practice Location Address |
|---|---|
| John A Traynham, MD 1871 Savage Rd, Charleston, SC 29407-4726 Ph: (843) 766-6308 | John A Traynham, MD 1871 Savage Rd, Charleston, SC 29407 Ph: (843) 766-6308 |
Andrew M Atz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. Savanna Gilhooly Dincman, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. Kelly Michelle Roelf, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 125 Doughty Street, Msc 561, Charleston, SC 29403 Phone: 310-929-0627 | |
Jason Robert Buckley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Elizabeth Emrath Zivick, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Elizabeth Mary Wallis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. Caitlin Marie Stoll, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2244 Ashley Crossing Dr Unit 536, Charleston, SC 29414 Phone: 386-479-8265 |