| Internal Medicine Associates Of Aiken | |
|
102 Summerwood Way Aiken SC 29803-7704 | |
| (803) 649-5300 | |
| (803) 649-0056 |
| Full Name | Internal Medicine Associates Of Aiken |
|---|---|
| Speciality | Internal Medicine |
| Location | 102 Summerwood Way, Aiken, South Carolina |
| Authorized Official Name and Position | Gerald Gordon (PRESIDENT) |
| Authorized Official Contact | 8036495300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates Of Aiken Po Box 5238 Aiken SC 29804-5238 Ph: (803) 649-5300 | Internal Medicine Associates Of Aiken 102 Summerwood Way Aiken SC 29803-7704 Ph: (803) 649-5300 |
| NPI Number | 1942287305 |
|---|---|
| Provider Enumeration Date | 12/28/2005 |
| Last Update Date | 10/22/2007 |
| Medicare PECOS PAC ID | 6608869755 |
|---|---|
| Medicare Enrollment ID | O20040406000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942287305 | NPI | - | NPPES |
| GP2024 | Medicaid | SC | |
| CG6336 | Other | SC | RAILROAD MEDICARE |
| Provider Name | Gerald Gordon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396738753 PECOS PAC ID: 4587650791 Enrollment ID: I20100628000445 |
| Provider Name | Dana E Malloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679719819 PECOS PAC ID: 4789738212 Enrollment ID: I20111122000461 |
| Provider Name | Erin P Beaudry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083859383 PECOS PAC ID: 0143369371 Enrollment ID: I20130319000113 |
| Provider Name | Bhagyashree Shastri |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376951194 PECOS PAC ID: 7416289855 Enrollment ID: I20191104002696 |
| Provider Name | Elaine Inman-williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225421472 PECOS PAC ID: 8224359013 Enrollment ID: I20210517001067 |
| Provider Name | Raisa Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841941465 PECOS PAC ID: 6002202033 Enrollment ID: I20220331000391 |
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