| Allison Gonzalez, APRN | |
| 
					1 Wellness Blvd Ste 109, Irmo, SC 29063-2872  | |
| (803) 749-1111 | |
| (803) 749-0050 | 
| Full Name | Allison Gonzalez | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Adult Health | 
| Location | 1 Wellness Blvd Ste 109, Irmo, 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 | 
|---|---|---|---|
| 1366813628 | NPI | - | NPPES | 
| APN19740 | Other | SC | APRN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 19740 (South Carolina) | Primary | 
| Entity Name | South Carolina Internal Medicine Associates And Rehabilitation Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760483382 PECOS PAC ID: 1759362072 Enrollment ID: O20040525000145  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Allison Gonzalez, APRN 7182 Woodrow St Ste 200, Irmo, SC 29063-2832 Ph: (803) 749-1111  | Allison Gonzalez, APRN 1 Wellness Blvd Ste 109, Irmo, SC 29063-2872 Ph: (803) 749-1111  | 
Ashley Nichole Baxley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050  | |
Alicia Pendergrass, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Wellness Blvd Ste 203, Irmo, SC 29063 Phone: 803-749-9920 Fax: 803-749-9916  | |
Mrs. Julia P Hoeft, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1330 Dutch Fork Rd, Irmo, SC 29063 Phone: 866-389-2727  | |
Ms. Louise C. Holmes, MN,RN, CANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7430 College St, Irmo, SC 29063 Phone: 803-732-4001 Fax: 803-732-2123  | |
Mrs. Stefanie Lee Gunn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050  | |
Mrs. Rachel Strange, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050  | |
Janeen Jensen Wood, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1008 Lake Murray Blvd, Irmo, SC 29063 Phone: 803-749-3840  |