| Laurel Endocrine Thyroid Specialist Inc | |
|
1740 Saint Julian Pl Columbia SC 29204-2410 | |
| (803) 256-3534 | |
| (803) 254-7032 |
| Full Name | Laurel Endocrine Thyroid Specialist Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1740 Saint Julian Pl, Columbia, South Carolina |
| Authorized Official Name and Position | Laura M Laboone (PHYSICIAN) |
| Authorized Official Contact | 8032563534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel Endocrine Thyroid Specialist Inc Po Box 5307 Columbia SC 29250-5307 Ph: (803) 256-3534 | Laurel Endocrine Thyroid Specialist Inc 1740 Saint Julian Pl Columbia SC 29204-2410 Ph: (803) 256-3534 |
| NPI Number | 1922051879 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 10/27/2022 |
| Medicare PECOS PAC ID | 4789665316 |
|---|---|
| Medicare Enrollment ID | O20040528000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922051879 | NPI | - | NPPES |
| GP0426 | Medicaid | SC | |
| 1922088483 | Other | SC | DR. HORST'S NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 12610 (South Carolina) | Primary |
| Provider Name | Eric Allen Horst |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922088483 PECOS PAC ID: 1759559719 Enrollment ID: I20110718000361 |
| Provider Name | James Robert Brennan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477533933 PECOS PAC ID: 2860473493 Enrollment ID: I20110718000376 |
| Provider Name | Marjan Karegar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669621884 PECOS PAC ID: 4082772843 Enrollment ID: I20120724000173 |
| Provider Name | Laura Mesa Laboone |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932364767 PECOS PAC ID: 6901079250 Enrollment ID: I20141008000196 |
| Provider Name | Meredith Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598115511 PECOS PAC ID: 0042506602 Enrollment ID: I20160907002218 |
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Lagniappe Medical Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Polo Rd, Columbia, SC 29223 Phone: 803-419-7780 Fax: 803-419-7781 | |
Five Points Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1228 Harden St Ste B, Columbia, SC 29204 Phone: 803-748-7002 Fax: 803-252-5259 | |
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