| Palmetto Geriatrics, Llc | |
|
107 S Franklin Dr Florence SC 29501-4364 | |
| (843) 758-4043 | |
| (888) 557-1131 |
| Full Name | Palmetto Geriatrics, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 107 S Franklin Dr, Florence, South Carolina |
| Authorized Official Name and Position | Brian Mchugh (CEO) |
| Authorized Official Contact | 8437584043 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Geriatrics, Llc 107 S Franklin Dr Florence SC 29501-4364 Ph: (843) 758-4043 | Palmetto Geriatrics, Llc 107 S Franklin Dr Florence SC 29501-4364 Ph: (843) 758-4043 |
| NPI Number | 1396178547 |
|---|---|
| Provider Enumeration Date | 08/12/2013 |
| Last Update Date | 07/27/2020 |
| Medicare PECOS PAC ID | 4385860402 |
|---|---|
| Medicare Enrollment ID | O20140726000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396178547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Daniel Ray Crow |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033141247 PECOS PAC ID: 1153367495 Enrollment ID: I20050708000011 |
| Provider Name | Monica M Denoux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003259235 PECOS PAC ID: 7012157456 Enrollment ID: I20130709000419 |
| Provider Name | Gwendell M Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194222539 PECOS PAC ID: 3072867217 Enrollment ID: I20181107000815 |
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