| Aiken Internal Med Pa | |
|
410 University Pkwy Ste 2500 Aiken SC 29801-6830 | |
| (803) 648-7888 | |
| (803) 648-3302 |
| Full Name | Aiken Internal Med Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 410 University Pkwy Ste 2500, Aiken, South Carolina |
| Authorized Official Name and Position | Theodore M Meyer (DOCTOR INTERNAL MEDICINE) |
| Authorized Official Contact | 8036487888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aiken Internal Med Pa Po Box 215 Aiken SC 29802-0215 Ph: (803) 648-7888 | Aiken Internal Med Pa 410 University Pkwy Ste 2500 Aiken SC 29801-6830 Ph: (803) 648-7888 |
| NPI Number | 1952488900 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 09/29/2010 |
| Medicare PECOS PAC ID | 6608863782 |
|---|---|
| Medicare Enrollment ID | O20101207001083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952488900 | NPI | - | NPPES |
| CE6178 | Other | SC | RAILROAD MEDICARE |
| PA2158 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | William T Besson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790862753 PECOS PAC ID: 7416048426 Enrollment ID: I20070806000565 |
| Provider Name | Danijela Slovac Zotovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871670844 PECOS PAC ID: 2163619875 Enrollment ID: I20110310000764 |
| Provider Name | David S Keisler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740367705 PECOS PAC ID: 1254528961 Enrollment ID: I20110310000775 |
| Provider Name | Thomas E Mccullough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093980757 PECOS PAC ID: 3173799756 Enrollment ID: I20120103000428 |
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