| John Taylor Autry, | |
|
1 Medical Park Dr, Chester, SC 29706-9769 | |
| (803) 581-3151 | |
| Not Available |
| Full Name | John Taylor Autry |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1 Medical Park Dr, Chester, 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 |
|---|---|---|---|
| 1447679170 | NPI | - | NPPES |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Valley Emergency Care Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841395092 PECOS PAC ID: 1850387713 Enrollment ID: O20040424000146 |
| Entity Name | Emergency Medicine Physicians Of Cook County Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114168929 PECOS PAC ID: 8325197403 Enrollment ID: O20090520000156 |
| Mailing Address | Practice Location Address |
|---|---|
| John Taylor Autry, Po Box 603898, Charlotte, NC 28260-3898 Ph: (843) 792-6200 | John Taylor Autry, 1 Medical Park Dr, Chester, SC 29706-9769 Ph: (803) 581-3151 |
Isom Lowman, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Dr, Chester, SC 29706 Phone: 803-385-6164 | |
Dr. Jonathan Christopher Neuman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Dr, Chester, SC 29706 Phone: 803-581-3151 | |
Jonathan Kevin Millard, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Dr, Chester, SC 29706 Phone: 803-581-3151 | |
Terry Moslander, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Park Dr, Chester, SC 29706 Phone: 803-581-3151 |