| Drs Kelley & Mcdowell Pa | |
|
112 East Hilton St, Kershaw, SC 29067 | |
| (803) 475-6075 | |
| (803) 475-6077 |
| Full Name | Drs Kelley & Mcdowell Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 112 East Hilton St, Kershaw, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750595690 | NPI | - | NPPES |
| 427693 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 613 (South Carolina) | Primary |
| Provider Name | James Mcdowell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851447932 PECOS PAC ID: 1759471675 Enrollment ID: I20120117000870 |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Kelley & Mcdowell Pa Po Box 98, Kershaw, SC 29067 Ph: (803) 475-6075 | Drs Kelley & Mcdowell Pa 112 East Hilton St, Kershaw, SC 29067 Ph: (803) 475-6075 |
Providence Physician Practices Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 216 E Marion St, Kershaw, SC 29067 Phone: 803-475-3350 Fax: 803-475-5360 | |
James Jefferson Mcdowell Jr., OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 112 East Hilton St, Kershaw, SC 29067 Phone: 803-475-6075 Fax: 803-475-6077 |