| Mohammed Al Gadban, MD | |
|
1026 Powdersville Rd Ste B, Easley, SC 29642-2417 | |
| (864) 883-9737 | |
| (864) 883-9738 |
| Full Name | Mohammed Al Gadban |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1026 Powdersville Rd Ste B, Easley, 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 |
|---|---|---|---|
| 1043697022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD38034 (South Carolina) | Primary |
| Entity Name | Mcleod Health Clarendon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508218793 PECOS PAC ID: 0840582656 Enrollment ID: O20160915000930 |
| Entity Name | Coastal Pediatric Associates, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770700759 PECOS PAC ID: 8426464736 Enrollment ID: O20210311001646 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammed Al Gadban, MD 1026 Powdersville Rd Ste B, Easley, SC 29642-2417 Ph: (864) 883-9737 | Mohammed Al Gadban, MD 1026 Powdersville Rd Ste B, Easley, SC 29642-2417 Ph: (864) 883-9737 |
Beverly Turner Ellington, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 N A St, Easley, SC 29640 Phone: 864-855-0001 Fax: 864-855-5030 | |
Kristie Leigh Bragg, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4741 Highway 153 Ste A, Easley, SC 29642 Phone: 864-661-5278 Fax: 864-408-8369 | |
Emily Brooks Crosby, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 800 N A St, Easley, SC 29640 Phone: 864-855-0001 Fax: 864-855-5030 | |
Mrs. Hiliary Seay Humphries, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 North A St, Easley, SC 29640 Phone: 864-855-0001 Fax: 864-855-5030 | |
Anna Lee Leavitt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 800 N A St, Easley, SC 29640 Phone: 864-855-0001 | |
Dr. Gregory Heyward Langley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 N A St, Easley, SC 29640 Phone: 864-855-0001 Fax: 864-855-5030 |