| Coastal Internal Medicine & Geriatrics Llc | |
|
597 Old Mount Holly Rd Ste 202 Goose Creek SC 29445-2831 | |
| (843) 466-8000 | |
| Not Available |
| Full Name | Coastal Internal Medicine & Geriatrics Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 597 Old Mount Holly Rd, Goose Creek, South Carolina |
| Authorized Official Name and Position | Madhavi Akkineni (OWNER) |
| Authorized Official Contact | 8434668000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Internal Medicine & Geriatrics Llc 597 Old Mount Holly Rd Ste 202 Goose Creek SC 29445-2831 Ph: (843) 466-8000 | Coastal Internal Medicine & Geriatrics Llc 597 Old Mount Holly Rd Ste 202 Goose Creek SC 29445-2831 Ph: (843) 466-8000 |
| NPI Number | 1265966337 |
|---|---|
| Provider Enumeration Date | 04/16/2017 |
| Last Update Date | 04/16/2017 |
| Medicare PECOS PAC ID | 2860762846 |
|---|---|
| Medicare Enrollment ID | O20170725000387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265966337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 33988 (South Carolina) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 33988 (South Carolina) | Secondary |
| Provider Name | Madhavi Akkineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477873354 PECOS PAC ID: 3870765001 Enrollment ID: I20111012000856 |
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 | |
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