Carolina Ob-gyn Llc | |
4017 Hwy 17 Bypass Murrells Inlet SC 29576-2674 | |
(843) 651-6525 | |
(843) 357-5035 |
Full Name | Carolina Ob-gyn Llc |
---|---|
Speciality | Obstetrics & Gynecology |
Location | 4017 Hwy 17 Bypass, Murrells Inlet, South Carolina |
Authorized Official Name and Position | Gayle S Richmond (MANAGER/PARTNER) |
Authorized Official Contact | 8436516525 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Carolina Ob-gyn Llc 4017 Hwy 17 Bypass Po Box 3440 Murrells Inlet SC 29576-2674 Ph: (843) 651-6525 | Carolina Ob-gyn Llc 4017 Hwy 17 Bypass Murrells Inlet SC 29576-2674 Ph: (843) 651-6525 |
NPI Number | 1508838095 |
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Provider Enumeration Date | 02/07/2006 |
Last Update Date | 01/11/2013 |
Medicare PECOS PAC ID | 6204740343 |
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Medicare Enrollment ID | O20031113000618 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508838095 | NPI | - | NPPES |
GP0739 | Medicaid | SC | |
89014YR | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Primary |
Provider Name | Valerie Lasry |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1750353272 PECOS PAC ID: 9335122027 Enrollment ID: I20051012000023 |
Provider Name | Cynthia G Bindner |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1942273420 PECOS PAC ID: 9335311133 Enrollment ID: I20111222000320 |
Provider Name | Gayle Serafini Richmond |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1144292624 PECOS PAC ID: 8729992862 Enrollment ID: I20111229000789 |
Provider Name | Lisa Maselli |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1346212834 PECOS PAC ID: 8426220229 Enrollment ID: I20111230000571 |
Provider Name | Melissa J Moore |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1144548884 PECOS PAC ID: 3072838390 Enrollment ID: I20190610000281 |
Provider Name | Andrea Richmond-mart |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1437508579 PECOS PAC ID: 9335429661 Enrollment ID: I20201214000625 |
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