| Hospital Consultants Of Greenwood | |
|
706 Windsor Rd Hodges SC 29653-9164 | |
| (864) 374-9912 | |
| (864) 752-0966 |
| Full Name | Hospital Consultants Of Greenwood |
|---|---|
| Speciality | Family Medicine |
| Location | 706 Windsor Rd, Hodges, South Carolina |
| Authorized Official Name and Position | Jonathan Howard Hegler (PARTNER) |
| Authorized Official Contact | 8643749912 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospital Consultants Of Greenwood Po Box 3107 Greenwood SC 29648-3107 Ph: (864) 374-9912 | Hospital Consultants Of Greenwood 706 Windsor Rd Hodges SC 29653-9164 Ph: (864) 374-9912 |
| NPI Number | 1700107422 |
|---|---|
| Provider Enumeration Date | 06/16/2010 |
| Last Update Date | 08/16/2010 |
| Medicare PECOS PAC ID | 8426174210 |
|---|---|
| Medicare Enrollment ID | O20100929001249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700107422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Leanne Y Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356546162 PECOS PAC ID: 4284725557 Enrollment ID: I20070801000558 |
| Provider Name | Jason D Dahlberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508800848 PECOS PAC ID: 8729083787 Enrollment ID: I20110228000231 |
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