| Madison Blaire Kent, | |
|
4520 Broad St, Loris, SC 29569-2422 | |
| (843) 756-0959 | |
| Not Available |
| Full Name | Madison Blaire Kent |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4520 Broad St, Loris, 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 |
|---|---|---|---|
| 1629849302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 28278 (South Carolina) | Primary |
| Entity Name | Lowcountry Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326364100 PECOS PAC ID: 9739210337 Enrollment ID: O20100625000517 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Blaire Kent, 4206 Seaview St Apt 2, North Myrtle Beach, SC 29582-5142 Ph: (864) 430-9948 | Madison Blaire Kent, 4520 Broad St, Loris, SC 29569-2422 Ph: (843) 756-0959 |
Carla Cox Norris, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2828 Bayboro St, Loris, SC 29569 Phone: 843-716-2229 Fax: 843-716-2483 | |
Wanda W Grainger, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3109 Casey St, Suite A, Loris, SC 29569 Phone: 843-756-9292 Fax: 843-756-9260 | |
Mrs. Regina F. Holmes, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Agape Senior Primary Care Inc Dba Main Street Physician, 3612 Mitchell Street, Loris, SC 29569 Phone: 843-756-2122 Fax: 843-756-2121 | |
Jessica Thompson Spivey, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3485 Mitchell St, Loris, SC 29569 Phone: 843-390-0877 | |
Mrs. Julia Batten Hucks, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3418 Casey St, Loris, SC 29569 Phone: 843-756-7885 | |
Mrs. Donna C Sellers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3109 Casey St, Suite A, Loris, SC 29569 Phone: 843-756-9292 Fax: 843-756-9260 | |
Jennifer Roberts, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2828 Bayboro St, Loris, SC 29569 Phone: 843-716-2229 |