| Wilson Mccall Fitchett, DNP, FNP-C | |
| 
					3495 Iron Horse Rd, Ladson, SC 29456-4319  | |
| (843) 793-5970 | |
| (843) 419-5391 | 
| Full Name | Wilson Mccall Fitchett | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 3495 Iron Horse Rd, Ladson, 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 | 
|---|---|---|---|
| 1174121206 | NPI | - | NPPES | 
| NP7162 | Medicaid | SC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 24263 (South Carolina) | Primary | 
| Entity Name | Palmetto Primary Care Physicians Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073234928 PECOS PAC ID: 4880508068 Enrollment ID: O20031113000287  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Wilson Mccall Fitchett, DNP, FNP-C Po Box 530062, Atlanta, GA 30353-0062 Ph: (843) 695-6071  | Wilson Mccall Fitchett, DNP, FNP-C 3495 Iron Horse Rd, Ladson, SC 29456-4319 Ph: (843) 793-5970  | 
Victoria Michelle Kennedy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3495 Iron Horse Rd, Ladson, SC 29456 Phone: 843-793-5970  | |
Haley Mcclure Jones, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Treeland Dr Ste B, Ladson, SC 29456 Phone: 843-277-2240  | |
Kiara Baylock, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8536 Palmetto Commerce Pkwy Ste 401, Ladson, SC 29456 Phone: 854-529-3193  | |
Chiquita Anderson, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9698 Patriot Blvd Apt 928, Ladson, SC 29456 Phone: 843-518-1376  | |
Chelsea Kelly,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9537 S Cardinal Dr, Ladson, SC 29456 Phone: 843-997-4024  | |
Shelli Gibbs,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 267 Treeland Dr, Suite C, Ladson, SC 29456 Phone: 843-277-2240  |