| Advantage Healthcare Of Charleston Llc | |
|
122 S Goose Creek Blvd Suite B Goose Creek SC 29445-3136 | |
| (843) 553-2211 | |
| (843) 553-2210 |
| Full Name | Advantage Healthcare Of Charleston Llc |
|---|---|
| Speciality | General Practice |
| Location | 122 S Goose Creek Blvd, Goose Creek, South Carolina |
| Authorized Official Name and Position | Chris James Gray (PRESIDENT) |
| Authorized Official Contact | 8435532211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Healthcare Of Charleston Llc 122 S. Goose Creek Blvd Ste B Goose Creek SC 29445-0488 Ph: (843) 553-2211 | Advantage Healthcare Of Charleston Llc 122 S Goose Creek Blvd Suite B Goose Creek SC 29445-3136 Ph: (843) 553-2211 |
| NPI Number | 1790086726 |
|---|---|
| Provider Enumeration Date | 11/08/2010 |
| Last Update Date | 01/24/2020 |
| Medicare PECOS PAC ID | 7416130703 |
|---|---|
| Medicare Enrollment ID | O20110526000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790086726 | NPI | - | NPPES |
| AA66739888 | Other | SC | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 28866 (South Carolina) | Primary |
| Provider Name | Christopher J Gray |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275572158 PECOS PAC ID: 5193729861 Enrollment ID: I20060912000093 |
| Provider Name | Hubert Austin Murray |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548219173 PECOS PAC ID: 4183788409 Enrollment ID: I20090202000441 |
| Provider Name | Kathleen O Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811156938 PECOS PAC ID: 2860542784 Enrollment ID: I20090615000201 |
| Provider Name | Tiffany G Mckeel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780828293 PECOS PAC ID: 8123178944 Enrollment ID: I20090616000558 |
| Provider Name | Melissa May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629302047 PECOS PAC ID: 4688867955 Enrollment ID: I20101019000749 |
| Provider Name | Eleanor R Jenkins-alford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689743569 PECOS PAC ID: 8628221181 Enrollment ID: I20130111000149 |
| Provider Name | Tammy E Hiott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962811471 PECOS PAC ID: 7911128004 Enrollment ID: I20141014001018 |
| Provider Name | Michael G Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770694739 PECOS PAC ID: 1052781499 Enrollment ID: I20221230000068 |
| Provider Name | Kathy Lynn Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366108664 PECOS PAC ID: 6800252610 Enrollment ID: I20230522001816 |
Patricia A Campbell Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110a Springhall Dr, Goose Creek, SC 29445 Phone: 843-225-8304 Fax: 843-225-3549 | |
Primecare Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 145 St James Ave, Goose Creek, SC 29445 Phone: 843-863-0777 Fax: 843-824-6119 | |
Roper St. Francis Physician Partners Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Spring Hall Dr, Suite B, Goose Creek, SC 29445 Phone: 843-266-3430 Fax: 843-266-1997 | |
Draw Station Goose Creek Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 S Alliance Dr, Ste 202-a, Goose Creek, SC 29445 Phone: 843-553-4383 Fax: 843-553-4384 | |
Patricia A Campbell Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110a Springhall Dr, Goose Creek, SC 29445 Phone: 843-973-8503 Fax: 843-990-5068 | |
Goose Creek Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Springhall Dr, Suite B, Goose Creek, SC 29445 Phone: 843-266-3430 | |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 South Alliance Drive, Ste 201a, Goose Creek, SC 29445 Phone: 843-553-4383 Fax: 843-553-4384 |