| Larry L Ware, MD | |
|
322 W South St, Union, SC 29379-2839 | |
| (864) 429-8029 | |
| (864) 429-3515 |
| Full Name | Larry L Ware |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 322 W South St, Union, 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 |
|---|---|---|---|
| 1861479685 | NPI | - | NPPES |
| SCC5846084 | Other | SC | MEDICARE PIN |
| SCC584H888 | Other | SC | MEDICARE PIN |
| 152774 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 15277 (South Carolina) | Primary |
| Entity Name | St James Health And Wellness Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366568594 PECOS PAC ID: 1658280334 Enrollment ID: O20050810000151 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry L Ware, MD Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304 | Larry L Ware, MD 322 W South St, Union, SC 29379-2839 Ph: (864) 429-8029 |
Omri Kenneth Webb, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 W Main St, Union, SC 29379 Phone: 864-429-3029 Fax: 864-429-3015 | |
Sunitha Nagubilli, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 322 W South St, Union, SC 29379 Phone: 864-429-8029 Fax: 864-429-3515 | |
Dr. Harold Pagan Hope Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 323 W South St, Union, SC 29379 Phone: 864-427-6058 Fax: 864-427-6059 | |
Robert M. Wentz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 429 E Main St, Union, SC 29379 Phone: 864-427-9045 Fax: 864-427-8826 | |
David Martin Keith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 322 W South St, Union, SC 29379 Phone: 864-429-8029 Fax: 864-429-3515 | |
Dr. Herman K Lo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 322 W South St, Union, SC 29379 Phone: 864-429-8029 Fax: 864-429-3515 |