| Lancaster Endocrinology | |
|
410 S Herlong Ave Suite 106 Rock Hill SC 29732-8349 | |
| (803) 329-3899 | |
| (803) 329-4377 |
| Full Name | Lancaster Endocrinology |
|---|---|
| Speciality | Internal Medicine |
| Location | 410 S Herlong Ave, Rock Hill, South Carolina |
| Authorized Official Name and Position | Robert Wozniak (PRESIDENT) |
| Authorized Official Contact | 8033293899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lancaster Endocrinology 410 S Herlong Ave Suite 106 Rock Hill SC 29732-8349 Ph: (803) 329-3899 | Lancaster Endocrinology 410 S Herlong Ave Suite 106 Rock Hill SC 29732-8349 Ph: (803) 329-3899 |
| NPI Number | 1255499950 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 10/19/2007 |
| Medicare PECOS PAC ID | 5193638898 |
|---|---|
| Medicare Enrollment ID | O20031110000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255499950 | NPI | - | NPPES |
| 1942282470 | Other | SC | NPI INDIVIDUAL |
| 210195 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 21019 (South Carolina) | Primary |
| Provider Name | Robert Wozniak |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942282470 PECOS PAC ID: 0345153086 Enrollment ID: I20031111000264 |
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