| Lucretia Carter, | |
|
2200 Crow Ln, Myrtle Beach, SC 29577-1663 | |
| (843) 652-8440 | |
| Not Available |
| Full Name | Lucretia Carter |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2200 Crow Ln, Myrtle Beach, 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 |
|---|---|---|---|
| 1881642817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2014-00733 (North Carolina) | Primary |
| Entity Name | Georgetown Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982604021 PECOS PAC ID: 8224942123 Enrollment ID: O20031114000600 |
| Entity Name | Waccamaw Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972503910 PECOS PAC ID: 9133036932 Enrollment ID: O20031126000386 |
| Entity Name | Georgetown Physician Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235475930 PECOS PAC ID: 2365697398 Enrollment ID: O20130225000067 |
| Mailing Address | Practice Location Address |
|---|---|
| Lucretia Carter, Po Box 421718, Georgetown, SC 29442-4203 Ph: (843) 527-7000 | Lucretia Carter, 2200 Crow Ln, Myrtle Beach, SC 29577-1663 Ph: (843) 652-8440 |
Dr. Penelope Anne Campbell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4022 Postal Way Ste C, Myrtle Beach, SC 29579 Phone: 843-903-4111 Fax: 843-903-4242 | |
Anna Marie Goodwin, DO Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 4320 Holmestown Rd, Myrtle Beach, SC 29588 Phone: 843-652-8440 Fax: 843-652-8441 | |
Stephen Replenski, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 4022 Postal Way Ste C, Myrtle Beach, SC 29579 Phone: 843-903-4111 Fax: 843-903-4242 | |
Dr. Kristin Emily Moore, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8120 Rourk St, Myrtle Beach, SC 29572 Phone: 843-449-1438 Fax: 843-286-1349 | |
Rebecca S Eglen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6010 Highway 707, Ste 300, Myrtle Beach, SC 29588 Phone: 843-293-1005 Fax: 843-293-1006 | |
Dr. Virginia Caroline Williams, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8120 Rourk St, Myrtle Beach, SC 29572 Phone: 843-449-1483 Fax: 843-286-1349 | |
Dr. Frank Nicholas Colvard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8120 Rourk St, Myrtle Beach, SC 29572 Phone: 843-449-1438 Fax: 843-286-1349 |