| Elizabeth Anton Chea, MD | |
|
208 Frontage Rd, Suite 1, Clemson, SC 29631-1691 | |
| (864) 654-6034 | |
| Not Available |
| Full Name | Elizabeth Anton Chea |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 208 Frontage Rd, Clemson, 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 |
|---|---|---|---|
| 1932112182 | NPI | - | NPPES |
| GP2981 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 20754 (South Carolina) | Primary |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Anton Chea, MD 1 Independence Pt, Suite 212, Greenville, SC 29615-4545 Ph: (864) 797-6044 | Elizabeth Anton Chea, MD 208 Frontage Rd, Suite 1, Clemson, SC 29631-1691 Ph: (864) 654-6034 |
Antoinette Marie Bannister, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 450 Old Greenville Hwy, Clemson, SC 29631 Phone: 864-653-8964 | |
Marion A Wills, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 450 Old Greenville Hwy, Clemson, SC 29631 Phone: 864-653-8964 Fax: 846-653-8963 | |
Prasiksha Sitaula, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 885 Tiger Blvd, Clemson, SC 29631 Phone: 864-512-5725 Fax: 864-512-8039 | |
James E Feiste, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 885 Tiger Blvd, Clemson, SC 29631 Phone: 864-512-5890 Fax: 864-512-4711 |