| Lisa Lenore Ruppert Carroll, MD | |
|
3941 Highway 9, Boiling Springs, SC 29316 | |
| (864) 560-3650 | |
| (864) 560-3675 |
| Full Name | Lisa Lenore Ruppert Carroll |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 3941 Highway 9, Boiling Springs, 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 |
|---|---|---|---|
| 1831328947 | NPI | - | NPPES |
| 317810 | Medicaid | SC | |
| AA90853365 | Other | SC | MEDICARE PIN |
| P01139030 | Other | SC | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | LL31781 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | 31781 (South Carolina) | Primary |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Lenore Ruppert Carroll, MD Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304 | Lisa Lenore Ruppert Carroll, MD 3941 Highway 9, Boiling Springs, SC 29316 Ph: (864) 560-3650 |
Deborah Jo Taylor, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Laurelwood Dr, Boiling Springs, SC 29316 Phone: 864-431-4666 | |
Dr. Gregory L Gibson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3941 Highway 9, Boiling Springs, SC 29316 Phone: 864-560-3650 Fax: 864-560-3675 | |
Gertrude Po Cotiaux, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2400 Boiling Springs Rd Ste A, Boiling Springs, SC 29316 Phone: 864-599-0731 Fax: 864-599-0791 | |
Jarrell Dupree Nesmith, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Boiling Springs Rd, Boiling Springs, SC 29316 Phone: 864-599-0731 Fax: 864-599-0791 | |
Lauren Casey Beattie, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 107 Parris Bridge Rd, Boiling Springs, SC 29316 Phone: 864-274-3006 | |
Saiward Whitener Glenn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3941 Highway 9, Boiling Springs, SC 29316 Phone: 864-560-3650 Fax: 864-560-3675 | |
Melinda Sue Durham, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2212 Old Furnace Road, Boiling Springs, SC 29316 Phone: 864-578-9735 Fax: 864-578-7098 |