| Mr Bradley Harrison-seth Quarles, | |
|
2720 Sunset Blvd, West Columbia, SC 29169-4810 | |
| (803) 791-2000 | |
| Not Available |
| Full Name | Mr Bradley Harrison-seth Quarles |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2720 Sunset Blvd, West Columbia, 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 |
|---|---|---|---|
| 1699341552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 245632 (South Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 27497 (South Dakota) | Primary |
| Entity Name | Amsurg Columbia Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164765723 PECOS PAC ID: 7315187788 Enrollment ID: O20130708000411 |
| Entity Name | Lexington Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bradley Harrison-seth Quarles, Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 935-8292 | Mr Bradley Harrison-seth Quarles, 2720 Sunset Blvd, West Columbia, SC 29169-4810 Ph: (803) 791-2000 |
Aimee Yates Gondi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2720 Sunset Blvd., West Columbia, SC 29169 Phone: 803-791-2000 | |
Mrs. Aimee Ahn Durgin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2000 | |
Jeffrey M Scoggin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-935-8538 Fax: 803-791-2660 | |
Noreen Lyday Dudley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2000 | |
Jessica Leigh Rosebrock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2000 | |
Hannah Elizabeth Garrison, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-935-8538 | |
Cori Jane Stroebel, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-935-8538 Fax: 803-791-2660 |