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Health Care Providers in Port Royal, South Carolina

Organization, NamePractice AddressPractice Phone  TaxonomyNPI
Aguinaga, Mrs. Samantha Lea Bell APRN1510 Ribaut Rd      Port Royal  SC 29935-1403843-770-0676363LF0000X1649638123
Assorgi, Dr. Salvatore C DO1510 Ribaut Rd      Port Royal  SC 29935-1403843-770-0676207Q00000X1083662241
MEDICARE UPIN : D66271 || MEDICAID SC : G36087
Baisch, Mrs. Susanne T FNP1680b Ribaut Rd      Port Royal  SC 29935-2008843-521-9879363LF0000X1912908344
Barre, Martine DPT1617 W Paris Ave      Port Royal  SC 29935-1923843-522-5818225100000X1306114715
Berg, Dr. Jennifer Marie PHARMD1500 Ribaut Rd      Port Royal  SC 29935843-524-5440183500000X1144579012
Bettle, Norman M.D.1833 N. Paris Avenue      Port Royal  SC 29935-2029843-522-14202084N0400X1033180039
OTHER SC EIN : 571021811 || MEDICAID SC : 274036 || MEDICARE PIN SC : I234114900 || MEDICAID SC : GP1188
Cantave, Dr. Ugochi MD1875 N Paris Ave      Port Royal  SC 29935-2029843-522-3870208000000X1720219256
Carter, Mr. Robert Louis Ii RN, PNP1875 N Paris Ave      Port Royal  SC 29935-2029843-522-3870363LP0200X1154623320
Chahin, Dr. Majd MD1680b Ribaut Rd      Port Royal  SC 29935-2008843-521-9879207RH0003X1760472849
OTHER SC DMERC : 1209600001 || MEDICAID SC : 181378 || MEDICARE PIN SC : F557765623 || MEDICARE UPIN SC : F55776
Conroy, Dr. Joseph E PH.D.1859 N Paris Ave  Suite 212    Port Royal  SC 29935-2029732-859-0213103G00000X1952325730
Cooke, Elizabeth Meade CCC-SLP1004 10th St      Port Royal  SC 29935-2310843-310-9689235Z00000X1497028898
Dalbow, Dr. Milton Randall M.D.1800 Preserve Ave W  #1826    Port Royal  SC 29935-2514724-553-6282174400000X1972561314
MEDICARE UPIN PA : E55854 || MEDICARE PIN PA : 616532 || OTHER PA RAILROAD MEDICARE : 110059269 || MEDICAID PA : 0012111900001 || MEDICAID SC : 344522 || MEDICARE PIN SC : AA8893
Darby, Dr. Roy O Iii PH.D.1113 13th St      Port Royal  SC 29935-1937843-524-5367103TC0700X1457409856
Dawson, Dr. Rosalind M.D.1320 Ribaut Rd      Port Royal  SC 29935-1118843-986-0900207R00000X1487611752
OTHER SC EIN : 570523586 || MEDICARE UPIN SC : E68035
Dean, Dr. Brooke Ashley PH. D.1203 Paris Ave      Port Royal  SC 29935-2118843-525-9255103TC0700X1972744761
Dean, Ms. Patricia A M.ED.618 16th Street Ext      Port Royal  SC 29935-2222843-263-2614101YP2500X1720227937
Fitzgerald, Richard H M.D.1680 Ribaut Rd      Port Royal  SC 29935-2008843-522-7800174400000X1912942129
MEDICARE ID SC : D174575887 || MEDICARE UPIN SC : D17457
Grande, Carissa 1873 N Paris Ave      Port Royal  SC 29935-2029843-815-6999225X00000X1437543030
Gray, Mrs. Angelique Whitmire LMSW, LISW-CP1114 13th Street      Port Royal  SC 29935843-525-82241041C0700X1285759282
OTHER SC SOCIAL WORK LICENSE # : 7026
Grose, Candace M OT1004 10th St      Port Royal  SC 29935-2310843-379-2601225X00000X1184752008
MEDICARE OSCAR SC : 426614
Hodge, Ashley Fowler MS, OTR/L1004 10th St      Port Royal  SC 29935-2310843-310-9689225X00000X1588937940
Hoffman, Julie Anne PA1875 N Paris Ave      Port Royal  SC 29935-2029843-522-3870363A00000X1538534805
Hurd, Ashleigh 1873 N Paris Ave      Port Royal  SC 29935-2029843-815-6998235Z00000X1346632304
Ita, Niles E. MD1320 Ribaut Rd      Port Royal  SC 29935-1118843-986-0900207V00000X1184945925
MEDICAID SC : 375007 || MEDICARE UPIN SC : SC48101328
Jenkins, Patricia Nichole 601 Fort Frederick Cir      Port Royal  SC 29935-1701843-476-8356104100000X1134678238
Jones, Kathryn Mitchell FNP1680b Ribaut Road      Port Royal  SC 29935-2008843-521-9879363LF0000X1275593402
MEDICARE UPIN SC : P98149 || MEDICAID SC : NP0697 || OTHER SC DMERC : 1209600001 || MEDICARE PIN SC : P981495623
Kaemmer, Dr. Ian Jameson D.M.D.674 Boulevard De France      Port Royal  SC 29902843-228-3500122300000X1124450036
Kessler, Fred Otto Iv PHARM.D.1500 Ribaut Rd      Port Royal  SC 29935-1403843-524-5440183500000X1205269248
Knight, Kelsey 1873 N Paris Ave      Port Royal  SC 29935-2029843-815-6999235Z00000X1659750610
Knoebel, Kelley M OTR/L, MS1004 10th St      Port Royal  SC 29935-2310843-310-9689225X00000X1043612047
OTHER SC PROFESSIONAL LICENSE : 4364
Kokinakis, Demetrajane DO1664 Ribaut Rd      Port Royal  SC 29935-1708843-522-8466207W00000X1770579013
MEDICAID SC : 010687 || MEDICARE PIN SC : 5064 || MEDICARE UPIN SC : H11269
Lowe, Jack Richard RPH1500 Ribaut Rd      Port Royal  SC 29935-1403843-524-5440183500000X1487998688
Martin, Tad B PT1510 Ribaut Rd      Port Royal  SC 29935-1403843-524-3241225100000X1801832480
MEDICARE UPIN : P95142
Mazzeo, Paul M.D.1833 N. Paris Avenue      Port Royal  SC 29935-2029843-522-14202084N0400X1568432185
MEDICAID SC : 178024 || OTHER SC EIN : 571021811 || MEDICARE PIN SC : G017944900
Mcknight, Dr. Patrick Richard D.M.D1869 N. Paris Ave.      Port Royal  SC 29935-2029843-521-18691223G0001X1164555108
Mcnab, Dr. James Fyffe MD1680 Ribaut Raod  Ste A    Port Royal  SC 29935-2029843-522-78002085R0001X1972624484
OTHER GA COMPOSITE BOARD OF MEDICAL EXAMINERS : 019724 || OTHER SC DEPARTMENT OF LABOR, LICENSING AND REGULATION : 29369 || OTHER IA IOWA BOARD OF MEDICAL EXAMINERS : 25803 || MEDICAID SC : 293694 || OTHER NC NORTH CAROLINA MEDICAL BOARD : 2007-00321 || MEDICARE PIN SC : AA38149257 || MEDICARE PIN SC : 9257
Nelson, Dr. Eric Walters DABR, PHD1680 Ribaut Rd  Suitee A    Port Royal  SC 29935-2008843-441-04872085R0205X1588904700
Oquinn, William Esdorn Jr. MD1510 Ribaut Rd      Port Royal  SC 29935-1403843-770-0676207Q00000X1700990587
Perry, Shelly 1833 N Paris Ave      Port Royal  SC 29935-2029843-522-1420363LF0000X1427446475
Pettit, Mrs. Charmaine Marie PA-C670 Boulevard De France  Branch Health Clinic    Port Royal  SC 29902-6122843-228-4237363AM0700X1497181218
Polkey, Faith Lawrence M.D., M.P.H.1320 Ribaut Rd      Port Royal  SC 29935-1118843-986-0900208000000X1003885526
MEDICARE UPIN SC : H46791
Reibold, Gretchen PA1320 Ribaut Rd      Port Royal  SC 29935-1118843-987-7400363AM0700X1326383423
Riley, Monica V CNP1859 N Paris Ave Ste 212      Port Royal  SC 29935-2029912-354-4813363L00000X1770864829
OTHER OH RN LICENSE : RN263283 || OTHER SC LICENSE : 17990
Salas, Dr. Amanda B M.D.1203 Paris Ave      Port Royal  SC 29935-2118843-525-05002084P0800X1831128958
MEDICARE ID SC : I232243353 || MEDICARE PIN SC : I232243361 || MEDICARE UPIN SC : I23224 || MEDICARE ID SC : I232243361 || MEDICARE PIN SC : I232243353 || MEDICAID SC : 274802
Sanchez, Rachel Marian PT, BS1004 10th St      Port Royal  SC 29935-2310843-310-9689225100000X1235402678
Scheidel, Ryan 800 Preserve Ave E  Apt 8303    Port Royal  SC 29935-1687605-670-1363122300000X1689059859
Shah, Harsh 2200 Preserve Ave W  Apt 2231    Port Royal  SC 29935-2524810-357-7820122300000X1245669977
Shenoy, Dr. Katapadi Surendra M.D.1859 North Paris Avenue  Suite 212    Port Royal  SC 29935-2047843-524-2002207RN0300X1376550582
MEDICARE UPIN SC : D17574 || MEDICARE ID SC : D175742347 || MEDICAID SC : 113157
Simmons, Dr. James Earl M.D.1875 N Paris Ave      Port Royal  SC 29935-2029843-522-3870173000000X1750399242
OTHER SC TAX ID : 201242983 || MEDICARE UPIN SC : H07528 || MEDICAID SC : GP3983 || OTHER SC STATE LICENSE NUMBER : 21328 || OTHER SC DEA NUMBER : BS6344105
Singleton, Walter Henry Iii DPM1631 Paris Ave      Port Royal  SC 29935-2020843-524-7246213E00000X1538131537
OTHER SC DEA : BS5061875 || MEDICAID SC : PD5131 || MEDICARE ID SC : U624230281 || MEDICARE OSCAR SC : U624230281 || MEDICARE UPIN : U62423


HEALTH CARE JOBS SC - Page 1

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