| Lowcountry Infectious Diseases Pa | |
|
1938 Charlie Hall Blvd Unit B Charleston SC 29414-6099 | |
| (843) 402-0227 | |
| (840) 402-0232 |
| Full Name | Lowcountry Infectious Diseases Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1938 Charlie Hall Blvd Unit B, Charleston, South Carolina |
| Authorized Official Name and Position | Shannon R Mccoin (CEO) |
| Authorized Official Contact | 8432128669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lowcountry Infectious Diseases Pa 1938 Charlie Hall Blvd Unit B Charleston SC 29414-6099 Ph: (843) 402-0227 | Lowcountry Infectious Diseases Pa 1938 Charlie Hall Blvd Unit B Charleston SC 29414-6099 Ph: (843) 402-0227 |
| NPI Number | 1194778548 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 05/22/2015 |
| Medicare PECOS PAC ID | 8527070291 |
|---|---|
| Medicare Enrollment ID | O20060620000209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194778548 | NPI | - | NPPES |
| GP1016 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | James Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114923950 PECOS PAC ID: 4486713120 Enrollment ID: I20081110000463 |
| Provider Name | Kent J Stock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356331904 PECOS PAC ID: 4981766797 Enrollment ID: I20090102000125 |
| Provider Name | Timothy Eugene West |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831195791 PECOS PAC ID: 8921067026 Enrollment ID: I20100503000628 |
| Provider Name | Ludwig Alexander Lettau |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780674556 PECOS PAC ID: 3971515644 Enrollment ID: I20100831000506 |
| Provider Name | Elizabeth Marie Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114222403 PECOS PAC ID: 6305015462 Enrollment ID: I20110805000179 |
| Provider Name | Joseph F John |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598866592 PECOS PAC ID: 6305861329 Enrollment ID: I20150706000113 |
| Provider Name | Lorin D Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902292261 PECOS PAC ID: 2466765490 Enrollment ID: I20150721000718 |
| Provider Name | William Dana Largen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336435205 PECOS PAC ID: 0840411740 Enrollment ID: I20160602000980 |
| Provider Name | Erica M Yurcaba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316472145 PECOS PAC ID: 0345513107 Enrollment ID: I20170830002773 |
| Provider Name | Sarah M Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942778964 PECOS PAC ID: 6305182130 Enrollment ID: I20190115002061 |
| Provider Name | Chekita Rena Legette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013454073 PECOS PAC ID: 6002245255 Enrollment ID: I20200409000451 |
| Provider Name | Cameron Selent |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295119865 PECOS PAC ID: 0345593083 Enrollment ID: I20200420001814 |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2097 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-572-7727 Fax: 843-569-5881 | |
Musc Physicians Pcp Peninsular Charleston Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Bee St, Suite 2100, Charleston, SC 29403 Phone: 843-792-6500 | |
Roper St. Francis Hospitalist Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-724-2450 Fax: 843-724-2455 | |
Jeffrey Akhtar Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2270 Ashley Crossing Dr Ste 155, Charleston, SC 29414 Phone: 843-990-5866 Fax: 843-868-8041 | |
Musc Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2060 Sam Rittenburg Blvd, Charleston, SC 29425 Phone: 843-792-6200 | |
Harold R Nicolette, Do, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 Carriage Ln, Suite B, Charleston, SC 29407 Phone: 843-766-4100 Fax: 843-571-4177 | |
Medical University Of South Carolina Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Barre St, Charleston, SC 29401 Phone: 901-292-7077 |