| Timothy Baynard Bristol Legare, MD | |
| 30 Courtenay Drive Msc 613, Charleston, SC 29425-4284 | |
| (843) 792-1414 | |
| Not Available | 
| Full Name | Timothy Baynard Bristol Legare | 
|---|---|
| Gender | Male | 
| Speciality | Surgery - Vascular Surgery | 
| Location | 30 Courtenay Drive Msc 613, Charleston, 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 | 
|---|---|---|---|
| 1346744794 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 93960 (South Carolina) | Primary | 
| Entity Name | University Medical Associates Of The Medical University Of South Carol | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Timothy Baynard Bristol Legare, MD Po Box 751461, Charlotte, NC 28275-1461 Ph: () - | Timothy Baynard Bristol Legare, MD 30 Courtenay Drive Msc 613, Charleston, SC 29425-4284 Ph: (843) 792-1414 | 
| Sanaa Abdelmageed, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-792-4607 | |
| Kyler Perry, DO Surgery Medicare: Medicare Enrolled Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-792-2300 | |
| Dr. Swathi Venattu, MD Surgery Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
| Erika Andrade, MD Surgery Medicare: Medicare Enrolled Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-513-9773 | |
| Dr. Antwana Sharee Wright, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
| Jacob Arthur Klapper, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
| Norman Robert Harvey, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-2123 |