| Mr David Orlando Caraballo, PA | |
|
109 S. Green Street, Ridgeland, SC 29936 | |
| (843) 726-6773 | |
| (843) 726-6778 |
| Full Name | Mr David Orlando Caraballo |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 109 S. Green Street, Ridgeland, 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 |
|---|---|---|---|
| 1114253242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (NU) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 1806 (South Carolina) | Primary |
| Entity Name | Hilton Head Emergency Physicians, LLC. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326047176 PECOS PAC ID: 4688665235 Enrollment ID: O20040521000446 |
| Entity Name | Sjc Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811233828 PECOS PAC ID: 7719978105 Enrollment ID: O20130702000782 |
| Entity Name | South Carolina Group Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609212232 PECOS PAC ID: 1759525777 Enrollment ID: O20130912000800 |
| Entity Name | Signify Health Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002986 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David Orlando Caraballo, PA 836 E. 65th Street, Suite 22, Savannah, GA 31405 Ph: (912) 819-7878 | Mr David Orlando Caraballo, PA 109 S. Green Street, Ridgeland, SC 29936 Ph: (843) 726-6773 |
Josieann Mauro Eccles, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1714 Tickton Hall Rd, Ridgeland, SC 29936 Phone: 843-757-9838 Fax: 843-757-9667 |