| Renovo Medical Consulting | |
|
4770 Stono Links Dr Hollywood SC 29449-5984 | |
| (615) 714-6035 | |
| Not Available |
| Full Name | Renovo Medical Consulting |
|---|---|
| Speciality | Internal Medicine |
| Location | 4770 Stono Links Dr, Hollywood, South Carolina |
| Authorized Official Name and Position | Robert B Sapp (OWNER) |
| Authorized Official Contact | 8884942688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renovo Medical Consulting 4770 Stono Links Dr Hollywood SC 29449-5984 Ph: () - | Renovo Medical Consulting 4770 Stono Links Dr Hollywood SC 29449-5984 Ph: (615) 714-6035 |
| NPI Number | 1639534787 |
|---|---|
| Provider Enumeration Date | 12/16/2015 |
| Last Update Date | 12/16/2015 |
| Medicare PECOS PAC ID | 0547565301 |
|---|---|
| Medicare Enrollment ID | O20160217000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639534787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 29079 (South Carolina) | Primary |
| Provider Name | Robert Bradley Sapp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952488181 PECOS PAC ID: 6002962537 Enrollment ID: I20090924000122 |
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