| Palmetto Infectious Disease Physicians | |
|
1097b Cook Rd Orangeburg SC 29118-8209 | |
| (803) 539-0505 | |
| (803) 539-0410 |
| Full Name | Palmetto Infectious Disease Physicians |
|---|---|
| Speciality | Internal Medicine |
| Location | 1097b Cook Rd, Orangeburg, South Carolina |
| Authorized Official Name and Position | John Hunter Samies (DOCTOR) |
| Authorized Official Contact | 8035390505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Infectious Disease Physicians 2850 Jackson Dr Orangeburg SC 29118-3156 Ph: (803) 539-0505 | Palmetto Infectious Disease Physicians 1097b Cook Rd Orangeburg SC 29118-8209 Ph: (803) 539-0505 |
| NPI Number | 1255397840 |
|---|---|
| Provider Enumeration Date | 04/24/2006 |
| Last Update Date | 03/09/2021 |
| Medicare PECOS PAC ID | 7214959733 |
|---|---|
| Medicare Enrollment ID | O20051228000178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255397840 | NPI | - | NPPES |
| 4259 | Medicaid | SC | |
| GP4295 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 19747 (South Carolina) | Primary |
| Provider Name | John H Samies |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801850128 PECOS PAC ID: 3072544923 Enrollment ID: I20050830000815 |
| Provider Name | Marie L Gehling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255623278 PECOS PAC ID: 7618140534 Enrollment ID: I20111109000150 |
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