| Digestive Disease Group Pa | |
|
103 Liner Dr Greenwood SC 29646-2311 | |
| (864) 227-3636 | |
| (864) 227-6116 |
| Full Name | Digestive Disease Group Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 103 Liner Dr, Greenwood, South Carolina |
| Authorized Official Name and Position | April Crisp (PRACTICE MANAGER) |
| Authorized Official Contact | 8643962221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Disease Group Pa 103 Liner Dr Greenwood SC 29646-2311 Ph: (864) 227-3636 | Digestive Disease Group Pa 103 Liner Dr Greenwood SC 29646-2311 Ph: (864) 227-3636 |
| NPI Number | 1891788907 |
|---|---|
| Provider Enumeration Date | 08/24/2005 |
| Last Update Date | 03/18/2024 |
| Medicare PECOS PAC ID | 6002887361 |
|---|---|
| Medicare Enrollment ID | O20040802001285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891788907 | NPI | - | NPPES |
| GP0088 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Lance W Hudson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760462634 PECOS PAC ID: 4082517347 Enrollment ID: I20040202000752 |
| Provider Name | Rafal Sadurski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487647699 PECOS PAC ID: 8325019557 Enrollment ID: I20040803000237 |
| Provider Name | Bryan Thames Green |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861485963 PECOS PAC ID: 7315919362 Enrollment ID: I20040810000764 |
| Provider Name | Todd P Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114907490 PECOS PAC ID: 7214989235 Enrollment ID: I20050217000387 |
| Provider Name | Deborah B Lowery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346397346 PECOS PAC ID: 5092817320 Enrollment ID: I20070216000414 |
| Provider Name | Dana Faust |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306041546 PECOS PAC ID: 7012009368 Enrollment ID: I20070816000634 |
| Provider Name | Ronald Eslick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295715159 PECOS PAC ID: 1052212248 Enrollment ID: I20080312000756 |
| Provider Name | John Mark Harbin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174791503 PECOS PAC ID: 5597825554 Enrollment ID: I20081120000301 |
| Provider Name | Valerie S Jenks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649407636 PECOS PAC ID: 7618013053 Enrollment ID: I20091015000182 |
| Provider Name | Jason L Mortenson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073832051 PECOS PAC ID: 6800920992 Enrollment ID: I20100811000270 |
| Provider Name | William John Gilchrist |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346233558 PECOS PAC ID: 6305817677 Enrollment ID: I20110223000365 |
| Provider Name | Matthew Stephen Bachinski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881687093 PECOS PAC ID: 4587635859 Enrollment ID: I20110225000783 |
| Provider Name | Nathan Emory Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891126256 PECOS PAC ID: 4284865957 Enrollment ID: I20140321000587 |
| Provider Name | Elizabeth Wilkes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053374272 PECOS PAC ID: 7719957919 Enrollment ID: I20161220000399 |
| Provider Name | Matthew A Mason |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710272471 PECOS PAC ID: 8224351499 Enrollment ID: I20170626000100 |
| Provider Name | Kelly V Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225558588 PECOS PAC ID: 9032483847 Enrollment ID: I20170918002278 |
| Provider Name | Beth Eargle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720096548 PECOS PAC ID: 3072571926 Enrollment ID: I20171208000392 |
| Provider Name | Paul S Chancellor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861459976 PECOS PAC ID: 9739157967 Enrollment ID: I20180813000306 |
| Provider Name | James R Sellars |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730106451 PECOS PAC ID: 9739106063 Enrollment ID: I20181218001955 |
| Provider Name | Melanie Faith Sanders |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700183290 PECOS PAC ID: 7517140114 Enrollment ID: I20190916002375 |
| Provider Name | Amy Dixon Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588383574 PECOS PAC ID: 8820461775 Enrollment ID: I20230224000499 |
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