| Shelby Brooke Jennings, OT | |
|
7035 Saint Andrews Rd, Columbia, SC 29212-1177 | |
| (803) 749-0924 | |
| Not Available |
| Full Name | Shelby Brooke Jennings |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 7035 Saint Andrews Rd, 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 |
|---|---|---|---|
| 1528543097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 5404 (South Carolina) | Primary |
| Provider Name | Scl Health Medical Group-butte Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477869600 PECOS PAC ID: 2466633102 Enrollment ID: O20110301000023 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Brooke Jennings, OT 20211 Sugarloaf Reserve Dr, Duluth, GA 30097-5216 Ph: (770) 314-1113 | Shelby Brooke Jennings, OT 7035 Saint Andrews Rd, Columbia, SC 29212-1177 Ph: (803) 749-0924 |
Mr. Sergei Makhenzon, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203 Phone: 800-491-0909 | |
Mrs. Beth Johnson Reeves, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: Sc House Calls Inc, 111 Doctors Circle, Columbia, SC 29203 Phone: 800-491-0909 | |
Rhonda S Rush, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Sc House Calls Inc, 111 Doctors Cir., Columbia, SC 29203 Phone: 800-491-0909 | |
Cynthia Lynne Hartman, OTR/L, NP Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-776-4000 | |
Kasey Watson, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203 Phone: 800-491-0909 | |
Ms. Tonya Anne Johnson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1710 Richland St, B, Columbia, SC 29201 Phone: 803-253-6223 Fax: 803-253-6224 | |
Ms. Modestyne Yvonne Mason, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 S Highland Forest Dr, Columbia, SC 29203 Phone: 803-786-5949 |