| Kory Drake, DO | |
|
203 Mills Ave, Greenville, SC 29605-4019 | |
| (864) 271-1844 | |
| Not Available |
| Full Name | Kory Drake |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Nephrology |
| Location | 203 Mills Ave, Greenville, 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 |
|---|---|---|---|
| 1114423522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 6647 (Oklahoma) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 89701 (South Carolina) | Primary |
| Entity Name | Carolina Nephrology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679557516 PECOS PAC ID: 2961467733 Enrollment ID: O20041122000627 |
| Mailing Address | Practice Location Address |
|---|---|
| Kory Drake, DO 4502 E 41st St, Tulsa, OK 74135-2536 Ph: (918) 619-4400 | Kory Drake, DO 203 Mills Ave, Greenville, SC 29605-4019 Ph: (864) 271-1844 |
Hilary Lauren Knippers, DO Nephrology Medicare: Medicare Enrolled Practice Location: 876 W Faris Rd, Greenville, SC 29605 Phone: 864-455-5648 | |
Abdullah Darvesh, Nephrology Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7882 | |
Daniel Ruiz, Nephrology Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7882 | |
Rhett Mckey Shirley, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd, Suite 520, Greenville, SC 29605 Phone: 864-455-9033 Fax: 864-455-6559 | |
Mohammad Rashid, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 61 Pointe Cir, Greenville, SC 29615 Phone: 864-286-6960 Fax: 864-286-8710 | |
Benjamin Ellis Rawls, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd Fl 5, Greenville, SC 29605 Phone: 864-455-4411 | |
Alan Robert Thompson, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, 5th Floor, Greenville, SC 29605 Phone: 864-455-4411 Fax: 864-455-4480 |