| New Haven Medical Services, P.a. | |
|
115 Eagles Nest Dr Suite B Seneca SC 29678-2762 | |
| (864) 885-2000 | |
| (864) 885-1004 |
| Full Name | New Haven Medical Services, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 115 Eagles Nest Dr, Seneca, South Carolina |
| Authorized Official Name and Position | Peter Kennedy Kwofie (PHYSICIAN OWNER) |
| Authorized Official Contact | 8648852000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Haven Medical Services, P.a. 115 Eagles Nest Dr Suite B Seneca SC 29678-2762 Ph: (864) 885-2000 | New Haven Medical Services, P.a. 115 Eagles Nest Dr Suite B Seneca SC 29678-2762 Ph: (864) 885-2000 |
| NPI Number | 1609821602 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9638124886 |
|---|---|
| Medicare Enrollment ID | O20050321000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609821602 | NPI | - | NPPES |
| GP4100 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Peter K Kwofie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124002118 PECOS PAC ID: 8527013770 Enrollment ID: I20050322000250 |
| Provider Name | Heather Michelle Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083278279 PECOS PAC ID: 6800229691 Enrollment ID: I20191210000168 |
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