| John Scott Stadalsky, MD | |
|
105 Springhall Dr, Goose Creek, SC 29445-5370 | |
| (843) 766-6308 | |
| (866) 533-4473 |
| Full Name | John Scott Stadalsky |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 105 Springhall Dr, Goose Creek, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699720250 | NPI | - | NPPES |
| T83086 | Medicaid | SC | |
| 571020809007 | Other | SC | BCBS SC |
| 571020809042 | Other | SC | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 24015 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John Scott Stadalsky, MD 1871 Savage Rd, Charleston, SC 29407-4726 Ph: (843) 531-9961 | John Scott Stadalsky, MD 105 Springhall Dr, Goose Creek, SC 29445-5370 Ph: (843) 766-6308 |
Thomas Plyler Hamilton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 105 Springhall Dr, Goose Creek, SC 29445 Phone: 843-766-6308 Fax: 866-533-4473 | |
Dr. Christine Marie Suarez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 99 Bridgetown Rd, Goose Creek, SC 29445 Phone: 843-572-3300 | |
Anna Harper Tucker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 Springhall Dr, Goose Creek, SC 29445 Phone: 843-766-6308 Fax: 866-533-4473 |