| Charleston Adults And Geriatrics | |
|
2175 Ashley Phosphate Rd Suite D North Charleston SC 29406-4181 | |
| (843) 764-0770 | |
| (843) 863-0402 |
| Full Name | Charleston Adults And Geriatrics |
|---|---|
| Speciality | Internal Medicine |
| Location | 2175 Ashley Phosphate Rd, North Charleston, South Carolina |
| Authorized Official Name and Position | Sara Elizabeth Mayno-hardy (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 8432258320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleston Adults And Geriatrics Po Box 13955 Charleston SC 29422-3955 Ph: (843) 225-8304 | Charleston Adults And Geriatrics 2175 Ashley Phosphate Rd Suite D North Charleston SC 29406-4181 Ph: (843) 764-0770 |
| NPI Number | 1821210121 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 09/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821210121 | NPI | - | NPPES |
| GP6738 | Medicaid | SC | |
| GP4032 | Medicaid | SC | |
| P00175892 | Other | SC | RAILROAD MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (South Carolina) | Secondary |
| 207R00000X | Internal Medicine | 13680 (South Carolina) | Primary |
Northwoods Family Practice, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9313 Medical Plaza Dr, Suite 302, North Charleston, SC 29406 Phone: 843-553-0484 Fax: 843-569-1556 | |
Mcnamara Eye Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8484 Dorchester Rd, B-3, North Charleston, SC 29420 Phone: 843-767-2328 | |
Family Wellness Center Of Charleston Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9217 University Blvd, Suite C1b, North Charleston, SC 29406 Phone: 843-729-8269 | |
Fetter Health Care Network, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1999 Singley St, North Charleston, SC 29405 Phone: 843-745-2000 | |
Low Country Internal Medicine Of Sc, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2845 Tricom St, North Charleston, SC 29406 Phone: 843-797-1770 | |
Avant Mso, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Elms Center Rd, North Charleston, SC 29406 Phone: 843-572-7727 | |
American Current Care, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5070 International Blvd Ste 115, North Charleston, SC 29418 Phone: 843-554-1029 Fax: 843-554-1103 |