| Raymond Kimball, MD | |
|
130 Highway 252, Anderson, SC 29621-5054 | |
| (803) 898-8405 | |
| Not Available |
| Full Name | Raymond Kimball |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 130 Highway 252, Anderson, 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 |
|---|---|---|---|
| 1285668608 | NPI | - | NPPES |
| 126009 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 12600 (South Carolina) | Primary |
| Entity Name | South Carolina Dept Of Mental Health Accounting Office |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295332690 PECOS PAC ID: 9032021175 Enrollment ID: O20031107000041 |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond Kimball, MD Po Box 485, Columbia, SC 29202-0485 Ph: (803) 898-8405 | Raymond Kimball, MD 130 Highway 252, Anderson, SC 29621-5054 Ph: (803) 898-8405 |
Urvi Shah, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 130 Highway 252, Anderson, SC 29621 Phone: 864-231-2600 | |
Abdalla Bamashmus, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 800 N Fant St, Anderson, SC 29621 Phone: 864-512-1810 Fax: 864-512-1805 | |
Joseph M Mcelwee, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2000 E Greenville St, Suite 3700, Anderson, SC 29621 Phone: 864-512-1475 Fax: 864-512-1930 | |
John H Purcell, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 130 Hwy 252, Anderson, SC 29622 Phone: 803-898-8405 | |
Sam Harry Ross, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 130 Highway 252, Anderson, SC 29621 Phone: 803-898-8405 | |
Dr. Violeta Nistor, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 130 Sc-252, Anderson, SC 29621 Phone: 864-231-2600 Fax: 864-965-9872 |