Lillian Turnage Pack, | |
1530 Drayton Road, Spartanburg, SC 29307-1058 | |
(864) 560-8777 | |
(864) 560-4580 |
Full Name | Lillian Turnage Pack |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 1530 Drayton Road, Spartanburg, 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 |
---|---|---|---|
1619651288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 27477 (South Carolina) | Primary |
Entity Name | Providence House Calls Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689912495 PECOS PAC ID: 1759528250 Enrollment ID: O20130430000366 |
Mailing Address | Practice Location Address |
---|---|
Lillian Turnage Pack, Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304 | Lillian Turnage Pack, 1530 Drayton Road, Spartanburg, SC 29307-1058 Ph: (864) 560-8777 |
David H Whiteside, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1330 Boiling Springs Rd, Suite 2500, Spartanburg, SC 29303 Phone: 864-585-5433 Fax: 864-591-4053 | |
Heidi Elizabeth Walsh, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 Dillon Dr, Spartanburg, SC 29307 Phone: 865-560-2227 | |
Shakira Leake, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-585-0366 | |
Mrs. Jacqueline C. Myers, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 N Pine St, Spartanburg, SC 29302 Phone: 864-541-0649 | |
Melony C Fowler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 853 N Church St, Suite 620, Spartanburg, SC 29303 Phone: 864-573-7511 Fax: 864-560-1690 | |
Dr. Amanda Boniface Rogers, DNP, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2995 Reidville Rd Ste 210, Spartanburg, SC 29301 Phone: 864-253-8140 Fax: 864-587-0051 | |
Erin Farr, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 841 E Main St Ste C, Spartanburg, SC 29302 Phone: 864-285-4533 Fax: 864-285-4432 |