| Lowcountry Gastroenterology | |
|
1300 Hospital Dr Suite 300 Mount Pleasant SC 29464-3217 | |
| (843) 884-5200 | |
| (843) 884-6417 |
| Full Name | Lowcountry Gastroenterology |
|---|---|
| Speciality | Internal Medicine |
| Location | 1300 Hospital Dr, Mount Pleasant, South Carolina |
| Authorized Official Name and Position | Paul L Yantis (PRESIDENT) |
| Authorized Official Contact | 8438845200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lowcountry Gastroenterology 1300 Hospital Dr Suite 300 Mount Pleasant SC 29464-3217 Ph: (843) 884-5200 | Lowcountry Gastroenterology 1300 Hospital Dr Suite 300 Mount Pleasant SC 29464-3217 Ph: (843) 884-5200 |
| NPI Number | 1154437291 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 09/28/2015 |
| Medicare PECOS PAC ID | 1850350802 |
|---|---|
| Medicare Enrollment ID | O20041006000650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154437291 | NPI | - | NPPES |
| PC4786 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Shixiong Liao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285698829 PECOS PAC ID: 2961590286 Enrollment ID: I20071120000014 |
| Provider Name | Weijian Zhu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134138530 PECOS PAC ID: 5799828414 Enrollment ID: I20100203000655 |
| Provider Name | Jeffrey Ritchie Joyner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134235278 PECOS PAC ID: 6901908698 Enrollment ID: I20110222000842 |
| Provider Name | William H Marsh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306952445 PECOS PAC ID: 1456453141 Enrollment ID: I20110222000871 |
| Provider Name | Joshua T Watson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831171461 PECOS PAC ID: 7214166164 Enrollment ID: I20151029003094 |
| Provider Name | William John Bulsiewicz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821247693 PECOS PAC ID: 9436298510 Enrollment ID: I20160520001315 |
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