| Mr Adam Keith Gwinn, CRNA, DNAP | |
|
1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | |
| (843) 861-2548 | |
| Not Available |
| Full Name | Mr Adam Keith Gwinn |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1304 W Bobo Newsom Hwy, Hartsville, 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 |
|---|---|---|---|
| 1588393565 | NPI | - | NPPES |
| 163W00000X | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2970 (South Carolina) | Primary |
| Entity Name | Mcleod Physician Associates Ii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
| Entity Name | Kershaw Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073986048 PECOS PAC ID: 2567764384 Enrollment ID: O20160111000770 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Adam Keith Gwinn, CRNA, DNAP 7 Independence Pt Ste 300, Greenville, SC 29615-4569 Ph: () - | Mr Adam Keith Gwinn, CRNA, DNAP 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 Ph: (843) 861-2548 |
Frederick D Adams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550 Phone: 843-339-2100 | |
Joyce L Leatherman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550 Phone: 843-339-2100 | |
Daniel Farmer, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550 Phone: 843-449-2100 | |
Edwin H Goranson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550 Phone: 843-339-2100 | |
Roy Harvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550 Phone: 866-214-8600 Fax: 678-888-0390 | |
Gregory S Oswald, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550 Phone: 843-339-2100 Fax: 843-339-4899 |