| Timothy Scharold MD LLC | |
|
1 Mallett Way Bluffton SC 29910-6067 | |
| (843) 682-4868 | |
| (843) 815-5650 |
| Full Name | Timothy Scharold MD LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Mallett Way, Bluffton, South Carolina |
| Authorized Official Name and Position | Timothy Scharold (PRESIDENT) |
| Authorized Official Contact | 8433422354 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Scharold MD LLC 32 Oyster Reef Dr Hilton Head SC 29926-2617 Ph: (843) 342-2354 | Timothy Scharold MD LLC 1 Mallett Way Bluffton SC 29910-6067 Ph: (843) 682-4868 |
| NPI Number | 1013228931 |
|---|---|
| Provider Enumeration Date | 06/24/2010 |
| Last Update Date | 06/24/2010 |
| Medicare PECOS PAC ID | 4981898947 |
|---|---|
| Medicare Enrollment ID | O20101103000865 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013228931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | SC26494 (South Carolina) | Primary |
| Provider Name | Timothy a Scharold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114011947 PECOS PAC ID: 8123911070 Enrollment ID: I20040204000708 |
| Provider Name | Elizabeth F Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023146412 PECOS PAC ID: 0042375073 Enrollment ID: I20090209000036 |
| Provider Name | Kristin Gavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750922894 PECOS PAC ID: 7911355219 Enrollment ID: I20231128000195 |
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