| Mark C Mcgannon, MD | |
|
1190 Summers Ave, Orangeburg, SC 29115-4922 | |
| (803) 534-0266 | |
| Not Available |
| Full Name | Mark C Mcgannon |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 1190 Summers Ave, Orangeburg, 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 |
|---|---|---|---|
| 1538275961 | NPI | - | NPPES |
| 088452 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 8845 (South Carolina) | Primary |
| Entity Name | Orangeburg Eye Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194831586 PECOS PAC ID: 8628108370 Enrollment ID: O20100608000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark C Mcgannon, MD Po Box 1226, Orangeburg, SC 29116-1226 Ph: (803) 534-0226 | Mark C Mcgannon, MD 1190 Summers Ave, Orangeburg, SC 29115-4922 Ph: (803) 534-0266 |
Daoling Zhang, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1190 Summers Ave, Orangeburg, SC 29115 Phone: 803-534-0266 | |
Michael James Mcmullen, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1190 Summers Ave, Orangeburg, SC 29115 Phone: 803-534-0266 | |
Jack F Johnson Jr., MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1190 Summers Ave, Orangeburg, SC 29115 Phone: 803-534-0266 |