| Pinner Clinic Pa | |
|
32 River St Peak SC 29122-0099 | |
| (803) 945-7475 | |
| (803) 345-2832 |
| Full Name | Pinner Clinic Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 32 River St, Peak, South Carolina |
| Authorized Official Name and Position | Carroll A Pinner (SEC TREAS) |
| Authorized Official Contact | 8039457475 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinner Clinic Pa Po Box 99 Peak SC 29122-0099 Ph: (803) 945-7475 | Pinner Clinic Pa 32 River St Peak SC 29122-0099 Ph: (803) 945-7475 |
| NPI Number | 1982644290 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 11/10/2023 |
| Medicare PECOS PAC ID | 1951402593 |
|---|---|
| Medicare Enrollment ID | O20070725000770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982644290 | NPI | - | NPPES |
| PA0659 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 6376 (South Carolina) | Primary |
| Provider Name | Benjamin C Pinner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497856371 PECOS PAC ID: 3274553169 Enrollment ID: I20051207000368 |
| Provider Name | Carroll Alexander Pinner |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1275515108 PECOS PAC ID: 7214038850 Enrollment ID: I20110228000261 |
| Provider Name | Edwina Marie Hallman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689132201 PECOS PAC ID: 9830431824 Enrollment ID: I20190423000766 |
| Provider Name | Melissa Senf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275170730 PECOS PAC ID: 8325474307 Enrollment ID: I20200211002035 |
| Provider Name | Catherine King Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417595455 PECOS PAC ID: 8628408481 Enrollment ID: I20200417001412 |
| Provider Name | Lori A Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477933810 PECOS PAC ID: 3173838372 Enrollment ID: I20220517002971 |
| Provider Name | Kelsey Rutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518686674 PECOS PAC ID: 6709254980 Enrollment ID: I20221118001257 |