| Stefan Montgomery Md Family & Sports Medicine, Pa | |
|
2850 Pelham Ct Orangeburg SC 29118-1400 | |
| (803) 531-8500 | |
| Not Available |
| Full Name | Stefan Montgomery Md Family & Sports Medicine, Pa |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 2850 Pelham Ct, Orangeburg, South Carolina |
| Authorized Official Name and Position | Stefan L Montgomery (OWNER) |
| Authorized Official Contact | 8035318500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stefan Montgomery Md Family & Sports Medicine, Pa Po Box 1785 Orangeburg SC 29116-1785 Ph: (803) 395-4499 | Stefan Montgomery Md Family & Sports Medicine, Pa 2850 Pelham Ct Orangeburg SC 29118-1400 Ph: (803) 531-8500 |
| NPI Number | 1083762819 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 09/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083762819 | NPI | - | NPPES |
| 000000199439 | Other | SC | UNISON |
| 000000199441 | Other | SC | UNISON |
| DE2500 | Medicaid | SC | |
| 20059042 | Other | SC | SELECT HEALTH |
| 7455015 | Other | SC | CIGNA |
| 272779 | Medicaid | SC | |
| 7259579 | Other | SC | AETNA |
| GP4594 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
Orangeburg Primary Preventive & Occupational Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 Broughton Street, Orangeburg, SC 29115 Phone: 803-531-6030 Fax: 803-531-6056 | |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1205 Hutto St, Orangeburg, SC 29118 Phone: 803-531-3911 Fax: 803-531-2666 | |
Occ Pro Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1555 Middleton St, Orangeburg, SC 29115 Phone: 803-308-7746 | |
Gross Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 970 Holly St, Orangeburg, SC 29115 Phone: 803-531-2722 Fax: 803-531-2743 | |
Andres J. Arias, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2323 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-534-5252 Fax: 803-531-0676 | |
Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900 Fax: 803-531-6907 |