| My House Call Doctor, Llc | |
|
650 Pamplico Hwy Ste C Florence SC 29505-6079 | |
| (843) 799-1256 | |
| Not Available |
| Full Name | My House Call Doctor, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 650 Pamplico Hwy Ste C, Florence, South Carolina |
| Authorized Official Name and Position | Susan Hayes (CREDENTIALING) |
| Authorized Official Contact | 8432920600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My House Call Doctor, Llc 2716 Whirlaway Ave Florence SC 29505-8748 Ph: () - | My House Call Doctor, Llc 650 Pamplico Hwy Ste C Florence SC 29505-6079 Ph: (843) 799-1256 |
| NPI Number | 1497223101 |
|---|---|
| Provider Enumeration Date | 11/12/2018 |
| Last Update Date | 09/14/2023 |
| Medicare PECOS PAC ID | 9537409214 |
|---|---|
| Medicare Enrollment ID | O20190315000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497223101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bruce Ellis Burner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891779807 PECOS PAC ID: 2567481187 Enrollment ID: I20051114000306 |
| Provider Name | Ziad Georges Skaff |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770601734 PECOS PAC ID: 4587853742 Enrollment ID: I20110104001092 |
| Provider Name | Tammy G Huckabee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366970741 PECOS PAC ID: 8123393410 Enrollment ID: I20171012002629 |
| Provider Name | Chasidy Lynn Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235755984 PECOS PAC ID: 7719372689 Enrollment ID: I20220314000168 |
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