| Lorrie R Mello-shropshire, MD | |
|
1 Medical Park Dr, Bldg. 3, Suite A, Chester, SC 29706-9769 | |
| (803) 581-2400 | |
| (803) 581-2401 |
| Full Name | Lorrie R Mello-shropshire |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| 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 |
|---|---|---|---|
| 1306865373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 17410 (South Carolina) | Primary |
| Entity Name | Medical University Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255305876 PECOS PAC ID: 1557268950 Enrollment ID: O20031215000499 |
| Entity Name | Carolina Family Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627 |
| Entity Name | Chester Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174753024 PECOS PAC ID: 5496891038 Enrollment ID: O20091012000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Lorrie R Mello-shropshire, MD 1 Medical Park Dr, Bldg. 3, Suite A, Chester, SC 29706-9769 Ph: (803) 581-2400 | Lorrie R Mello-shropshire, MD 1 Medical Park Dr, Bldg. 3, Suite A, Chester, SC 29706-9769 Ph: (803) 581-2400 |
Marion Logan Gibbons, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Park Drive, Building 3, Suite A, Chester, SC 29706 Phone: 803-581-2400 Fax: 803-581-2401 |