| Dr Shanika Damien Rutledge, MD | |
|
2015 2nd Ave Ste 101, Summerville, SC 29486-7889 | |
| (843) 573-2535 | |
| (843) 573-2534 |
| Full Name | Dr Shanika Damien Rutledge |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2015 2nd Ave Ste 101, Summerville, 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 |
|---|---|---|---|
| 1376957837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 37103 (South Carolina) | Primary |
| Entity Name | Carolina Family Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shanika Damien Rutledge, MD Po Box 602108, Charlotte, NC 28260-2108 Ph: () - | Dr Shanika Damien Rutledge, MD 2015 2nd Ave Ste 101, Summerville, SC 29486-7889 Ph: (843) 573-2535 |
Dr. Esther Spiegle Wilson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 202 Bentons Lodge Rd, Summerville, SC 29485 Phone: 843-871-2588 | |
Andrew Bain Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 102 W 8th North St Ste B, Summerville, SC 29483 Phone: 844-975-6683 Fax: 843-606-8056 | |
Dr. Emily Kathleen Johnson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2016 1st Ave, Summerville, SC 29486 Phone: 843-873-4545 Fax: 843-873-1561 | |
Elizabeth Brown Heyward, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 Midland Pkwy, Summerville, SC 29485 Phone: 843-970-5000 | |
Mr. Benjamin L Rodgers, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 748 Orangeburg Rd, Summerville, SC 29483 Phone: 843-832-8606 Fax: 843-285-7272 | |
Paul William Halczenko, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 295 Midland Pkwy, Summerville, SC 29485 Phone: 843-970-5255 | |
Mr. Mark Jeffrey Mccall, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 312 Midland Pkwy, Summerville, SC 29485 Phone: 843-875-6262 Fax: 843-873-7958 |