| Drn Medical Llc | |
|
403 Hillcrest Drive Ste A Easley SC 29640-1207 | |
| (864) 641-7787 | |
| (864) 307-9739 |
| Full Name | Drn Medical Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 403 Hillcrest Drive, Easley, South Carolina |
| Authorized Official Name and Position | David S Rogers (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8646417787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drn Medical Llc P.o. Box 557 Easley SC 29641-0557 Ph: (864) 641-7787 | Drn Medical Llc 403 Hillcrest Drive Ste A Easley SC 29640-1207 Ph: (864) 641-7787 |
| NPI Number | 1811539695 |
|---|---|
| Provider Enumeration Date | 10/12/2019 |
| Last Update Date | 02/07/2020 |
| Certification Date | 02/07/2020 |
| Medicare PECOS PAC ID | 6709210974 |
|---|---|
| Medicare Enrollment ID | O20191220001001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811539695 | NPI | - | NPPES |
| 20340 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | David S. Rogers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528045978 PECOS PAC ID: 7315108958 Enrollment ID: I20120409000330 |
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