| Maqsood Medical Services Llc | |
|
2490 Abbey Way Florence SC 29501-2905 | |
| (912) 655-8900 | |
| Not Available |
| Full Name | Maqsood Medical Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2490 Abbey Way, Florence, South Carolina |
| Authorized Official Name and Position | Farhan Maqsood (OWNER) |
| Authorized Official Contact | 9126558900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maqsood Medical Services Llc 2490 Abbey Way Florence SC 29501-2905 Ph: (912) 655-8900 | Maqsood Medical Services Llc 2490 Abbey Way Florence SC 29501-2905 Ph: (912) 655-8900 |
| NPI Number | 1427447770 |
|---|---|
| Provider Enumeration Date | 01/09/2015 |
| Last Update Date | 01/09/2015 |
| Medicare PECOS PAC ID | 1254657448 |
|---|---|
| Medicare Enrollment ID | O20150305001928 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427447770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Farhan S Maqsood |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760463491 PECOS PAC ID: 9335165588 Enrollment ID: I20090804000655 |
| Provider Name | Jessica M Grimsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255799631 PECOS PAC ID: 5799075958 Enrollment ID: I20160601000900 |
| Provider Name | Gina Goddard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508398835 PECOS PAC ID: 6507131901 Enrollment ID: I20171011002206 |
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