| E. Hare, MD | |
|
1291 Glen Gloria St Orangeburg SC 29118-2525 | |
| (803) 539-2040 | |
| (803) 539-2826 |
| Full Name | E. Hare, MD |
|---|---|
| Speciality | Internal Medicine |
| Location | 1291 Glen Gloria St, Orangeburg, South Carolina |
| Authorized Official Name and Position | Ester Rose Hare (PRESIDENT) |
| Authorized Official Contact | 8035392040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E. Hare, MD Po Box 1185 Orangeburg SC 29116-1185 Ph: (803) 539-2040 | E. Hare, MD 1291 Glen Gloria St Orangeburg SC 29118-2525 Ph: (803) 539-2040 |
| NPI Number | 1336198571 |
|---|---|
| Provider Enumeration Date | 05/07/2006 |
| Last Update Date | 06/25/2010 |
| Medicare PECOS PAC ID | 5395809206 |
|---|---|
| Medicare Enrollment ID | O20090121000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336198571 | NPI | - | NPPES |
| GP0919 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 15871 (South Carolina) | Primary |
| Provider Name | Ester R Hare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538144795 PECOS PAC ID: 7214091123 Enrollment ID: I20090121000420 |
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