2021 South Carolina Provider Directory - Wellcare

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2021 South Carolina Provider Directory

Directorio de Proveedores de South Carolina

This directory is updated as of 12/05/2020.

Chesterfield, Darlington, Dillon, Florence, Horry, Marion, Marlboro, Williamsburg

CAD_66855M State Approved 06132019©WellCare 2021 SC1SMDDIR66855M_00PE

Proudly serving Healthy Connections members.

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TABLE OF CONTENTS

Provider DirectoryIntroduction ......................................................................................................................................................................................................... IHow to Read Our Provider Listings .......................................................................................................................................................... IIIcon Guide ............................................................................................................................................................................................................ II

List of Plan Providers

Primary Care Physicians

Chesterfield ....................................................................................................................................................................................................1

Darlington .......................................................................................................................................................................................................2

Dillon ................................................................................................................................................................................................................ 6

Florence ...........................................................................................................................................................................................................7

Horry ............................................................................................................................................................................................................... 15

Marion ........................................................................................................................................................................................................... 35

Marlboro ....................................................................................................................................................................................................... 37

Williamsburg ............................................................................................................................................................................................... 38

Specialty Physicians

Chesterfield ................................................................................................................................................................................................ 39

Darlington .................................................................................................................................................................................................... 42

Dillon ..............................................................................................................................................................................................................49

Florence ........................................................................................................................................................................................................ 56

Horry .............................................................................................................................................................................................................. 92

Marion ..........................................................................................................................................................................................................129

Marlboro ....................................................................................................................................................................................................... 131

Williamsburg .............................................................................................................................................................................................. 132

Hospitals

Chesterfield ............................................................................................................................................................................................... 134

Darlington ................................................................................................................................................................................................... 135

Dillon .............................................................................................................................................................................................................136

Florence ....................................................................................................................................................................................................... 137

Horry .............................................................................................................................................................................................................138

Marion ..........................................................................................................................................................................................................139

Williamsburg ............................................................................................................................................................................................. 140

Ancillary Providers

All .....................................................................................................................................................................................................................141

Chesterfield ...............................................................................................................................................................................................142

Darlington ................................................................................................................................................................................................... 143

Dillon .............................................................................................................................................................................................................144

Florence .......................................................................................................................................................................................................145

Horry .............................................................................................................................................................................................................149

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TABLE OF CONTENTS

Ancillary Providers

Marion ..........................................................................................................................................................................................................156

Marlboro ...................................................................................................................................................................................................... 157

Williamsburg ..............................................................................................................................................................................................158

Allied Providers

Chesterfield ...............................................................................................................................................................................................159

Darlington ....................................................................................................................................................................................................161

Dillon .............................................................................................................................................................................................................167

Florence ...................................................................................................................................................................................................... 169

Horry ............................................................................................................................................................................................................ 190

Marion .........................................................................................................................................................................................................243

Marlboro .....................................................................................................................................................................................................244

Williamsburg .............................................................................................................................................................................................246

Pharmacy

Chesterfield ............................................................................................................................................................................................. 248

Darlington ..................................................................................................................................................................................................249

Dillon ............................................................................................................................................................................................................250

Florence .......................................................................................................................................................................................................251

Horry ............................................................................................................................................................................................................253

Marion .........................................................................................................................................................................................................257

Marlboro .....................................................................................................................................................................................................258

Williamsburg .............................................................................................................................................................................................259

IndexesAlternate Languages Index ......................................................................................................................................................................260Specialty Providers At-A-Glance .......................................................................................................................................................... 263Extended Hours Index ...............................................................................................................................................................................268Provider Index ................................................................................................................................................................................................ 277

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Here is your WellCare of South Carolina provider directory. It lists all of the providers in our

network. These providers include:

• Primary care providers (PCPs) and specialists

• Hospitals

• Pharmacies

Each of these providers will make his or her own decisions about the care you need. WellCare

of South Carolina is not responsible for these decisions. Some providers may not perform

certain services due to their religious or moral beliefs.

We’ve listed all of the providers by county. Then we’ve grouped them together by the type of

care or services they give. We’ve also included:

• The providers’ addresses and phone numbers

• Symbols to tell you whether the provider is accepting new patients, board certified or wheelchair accessible

We have a provider look-up tool on our website. Go to www.wellcare.com/South-Carolina.

Then click on the “Find a Provider” icon. You’ll be able to search for providers right in your area.

This is the best place to get our most current directory information.

Call us if you have questions about this directory. We can help you find a provider. We can

even help set up an appointment for you. Our toll-free number is 1-888-588-9842. TTY users

can call 711. You can reach us Monday - Friday, 8 a.m. to 6 p.m.

We wish you good health.

www.wellcare.com/South-Carolina | I

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{

How to Read Our Provider Listings

Provider name

Practice name

Provider gender

Provider address and phone number

Smith, Joe, MD Provider ID: 111111

Your Family Medical Center

Male/Female

123 Main Street Anytown, FL 12345 (555) 555-5555

00 Yrs/99 Yrs

Sunshine Hospital

Language: Spanish

Cultural Competence Training Complete/Incomplete

9:00 am-5:00 pm

PCMH: YES/NO. Level 1, 2, 3

Indicates provider is board certified

Indicates provider has wheelchair access

Indicates provider is not accepting new patients

Accessible by Public Transportation

Ages of patients seen by provider

Hospital the provider is associated with

Language spoken by provider or staff

Indicates whether or not provider has completed Cultural Competence Training

Hours of operation

Takes part in the PCMH* Model

Icon Guide

Indicates provider is board certified

Indicates provider has wheelchair access

Indicates provider is not accepting new patients

Accessible by Public Transportation

*PCMH stands for Patient Centered Medical Home. This is a way of giving care that involves a team of healthcare professionals. The team works together to meet the needs of each patient. Providers are placed in one of three levels; Level 1 (lowest), Level 2 and Level 3 (highest).

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Este es su directorio de proveedores de WellCare of South Carolina. Aquí se listan todos los proveedores en nuestra red. Estos proveedores incluyen:

• Proveedores de cuidado primario (PCP) y especialistas

• Hospitales

• Farmacias

Cada uno de estos proveedores tomará sus propias decisiones sobre el cuidado que usted necesita.

WellCare of South Carolina no es responsable de esas decisiones. Es posible que algunos proveedores

no proporcionen ciertos servicios debido a sus creencias religiosas o morales.

Hemos listado a todos los proveedores por condado. Luego los hemos agrupado por el tipo de

cuidado o servicios que ofrecen. También hemos incluido:

• Las direcciones y los números de teléfono de los proveedores

• Símbolos para indicarle si el proveedor está aceptando nuevos pacientes, si es certificado por

una junta o si cuenta con acceso para silla de ruedas

En nuestro sitio web contamos con una herramienta de búsqueda de proveedores. Visite

www.wellcare.com/South-Carolina. Luego haga clic en el icono “Find a Provider” (Buscar un

proveedor). Usted podrá buscar proveedores exactamente en su área. Este es el mejor lugar para

obtener nuestra información de directorio más actual.

Si tiene alguna pregunta sobre este directorio, llámenos. Podemos ayudarle a encontrar un

proveedor. Incluso podemos ayudarle a programar una cita. Nuestro número sin cargo es

1-888-588-9842. Los usuarios de TTY pueden llamar al 711. Puede comunicarse con nosotros de

lunes a viernes de 8 a.m. a 6 p.m.

Le deseamos una buena salud.

www.wellcare.com/South-Carolina | III

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{

Cómo leer nuestros listados de proveedores

Nombre del proveedor

Nombre de la práctica

Sexo del proveedor

Dirección y número de teléfono del proveedor

Smith,Joe, MD Provider ID: 111111

Your Family Medical Center

Male/Female

123 Main Street Anytown, FL 12345 (555) 555-5555

00 Yrs/99 Yrs

Sunshine Hospital

Language: Spanish

Cultural Competence Training Complete/Incomplete

9:00 am-5:00 pm

PCMH: YES/NO. Level 1, 2, 3

Indica que el proveedor es certificado por la junta médica

Indica que el proveedor tiene acceso para silla de ruedas

Indica que el proveedor no está aceptando a nuevos pacientes

Accesible en transporte público

Edades de los pacientes vistos por el proveedor

Hospital con el que está asociado el proveedor

Idioma que habla el proveedor o personal

Indica si el proveedor completó o no la capacitación de competencia cultural

Horario de atención

Participa en el modelo PCMH*

Guía de íconos

Indica que el proveedor es certificado por la junta médica

Indica que el proveedor tiene acceso para silla de ruedas

Indica que el proveedor no está aceptando a nuevos pacientes

Accesible en transporte público

*PCMH se refiere a Hogar Médico Enfocado en el Paciente. Es una manera de proporcionar cuidado que involucra a un equipo de profesionales de la salud. El equipo trabaja en conjunto para satisfacer las necesidades de cada paciente. Los proveedores son asignados a uno de tres niveles: Nivel 1 (el más bajo), Nivel 2 y Nivel 3 (el más alto).

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Spanish to English Provider Types*/Tipos de proveedores de español a inglés*

Español Inglés

Acupuntura Acupuncture

Psiquiatría de adicciones

Addiction Psychiatry

Medicina para adolescentes

Adolescent Medicine

Servicios de acompañante para adultos

Adult Companion Services

Cuidado diurno para adultos

Adult Day Care

Hogar de cuidado sustituto para adultos

Adult Foster Care Home

Cuidado médico diurno para adultos

Adult Medical Day Care

Cuidado residencial para adultos

Adult Residential Care Home

Administración de casos enfocados en adultos

Adult Targeted Case Management

Centro para tratar el SIDA

AIDS Center

Alergias e inmunología

Allergy & Immunology

Centro de cirugía ambulatoria

Ambulatory Surgery Center

Servicios de vida asistida

Assisted Living Services

Audiología Audiology

Asesoramiento en salud del comportamiento

Behavioral Health Counseling

Centro de salud del comportamiento

Behavioral Health Facility

Centro de maternidad

Birthing Center

Laboratorio de cateterismo cardíaco

Cardiac Cath Laboratory

Español Inglés

Electrofisiología cardíaca

Cardiac Electrophysiology

Monitoreo cardíaco Cardiac Monitoring

Cardiología Cardiology

Cirugía cardiovascular

Cardiovascular Surgery

Cirugía cardiovascular


Servicios de administración de casos

Case Management Services

Pediatría de abuso infantil

Child Abuse Pediatrics

Centro de desarrollo para niños

Child Development Center

Administración de casos enfocados en niños

Children Targeted Case Management

Niños con necesidades especiales de cuidado de la salud

Children With Special Health Care Needs

Quiropráctica Chiropractic

Servicios de tareas domésticas y limpieza del hogar

Chore/ Housekeeping Services

Clínica Clinic

Neurofisiología clínica

Clinical Neurophysiology

Cirugía de colon y recto

Colon & Rectal Surgery

Centro de salud comunitario

Community Health Center

Centro de salud mental comunitario

Community Mental Health Center

Junta de servicios a la comunidad

Community Service Board

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Español Inglés

Cirugía cardíaca congénita

Congenital Cardiac Surgery

Servicios de suministros médicos descartables

Consumable Medical Supply Services

Clínica de cuidado conveniente

Convenient Care Clinic

Hospital de acceso crítico

Critical Access Hospital

Odontología Dentistry

Dermatología Dermatology

Dermatopatología Dermatopathology

Centro designado para el sida

Designated Aids Center

Educación sobre la diabetes

Diabetes Education

Centro de diagnóstico y tratamiento

Diagnostic And Treatment Center

Centro de diagnóstico Diagnostic Center

Diagnóstico por imágenes

Diagnostic Imaging

Diálisis Dialysis

Equipo médico duradero

Durable Medical Equipment

Otorrinolaringología Ear, Nose & Throat

Endocrinología, diabetes, metabolismo

Endocrinology, Diabetes, Metabolism

Endodoncia Endodontics

Servicios de adaptaciones de accesibilidad al entorno

Environmental Accessibility Adaptation Services

Servicios especiales de EPSDT

EPSDT Special Services

Servicios de acompañante

Escort Services

Español Inglés

Planificación familiar Family Planning

Medicina familiar Family Practice

Servicios de capacitación familiar

Family Training Services

Centro de salud con calificación federal

Federally Qualified Health Center

Servicios de evaluación/reducción de riesgos financieros

Financial Risk Assessment/Risk Reduction Services

Centro de aptitud física

Fitness Center

Gastroenterología Gastroenterology

Gastroenterología y hepatología

Gastroenterology & Hepatology

Medicina general General Practice

Cirugía general General Surgery

Asesoramiento genético

Genetic Counseling

Medicina geriátrica Geriatric Medicine

Psiquiatría geriátrica Geriatric Psychiatry

Oncología ginecológica

Gynecological Oncology

Ginecología Gynecology

Cirugía de la mano Hand Surgery

Oncología de cabeza y cuello

Head & Neck Oncology

Cirugía de cabeza y cuello

Head & Neck Surgery

Control de la seguridad de la salud

Health Safety Monitoring

Proveedor de audífonos

Hearing Aid Supplier

Terapia y especialista en audífonos

Hearing Aid Therapy & Specialist

Hematología Hematology

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Español Inglés

Hematología y oncología

Hematology & Oncology

VIH/SIDA HIV/AIDS

Comidas entregadas a domicilio

Home-Delivered Meals

Cuidado de la salud en el hogar

Home Healthcare

Hospicio Hospice

Cuidado de hospicio y paliativo

Hospice & Palliative Care

Hospital Hospital

Servicios de limpieza del hogar y tareas domésticas

Housekeeping/ Chore Services

Medicina hiperbárica Hyperbaric Medicine

Enfermedades infecciosas

Infectious Disease

Terapia de infusión Infusion Therapy

Medicina interna Internal Medicine

Pruebas de laboratorio de patología

Laboratory Pathology Testing

Agencia licenciada de servicios de cuidado en el hogar

Licensed Home Care Service Agency

Litotripsia Lithotripsy

Imágenes por resonancia magnética

Magnetic Resonance Imaging

Mamografía Mammography

Masoterapia Massage Therapy

Medicina maternofetal

Maternal Fetal Medicine

Genética médica Medical Genetics

Oncología médica Medical Oncology

Administración de medicamentos

Medication Administration

Español Inglés

Diagnóstico con equipos portátiles

Mobile Diagnostic

MRI, equipos abiertos MRI Open

Medicina perinatal neonatal

Neonatal Perinatal Medicine

Nefrología Nephrology

Neurooncología Neuro Oncology

Discapacidades del desarrollo neurológico

Neurodevelopmental Disabilities

Neurodiagnóstico Neurodiagnostic

Neurología Neurology

Neurología/otología Neurology/Otology

Medicina neuromuscular

Neuromuscular Medicine

Neurooncología Neuro-Oncology

Neuropsicología Neuropsychology

Neurorradiología Neuroradiology

Neurocirugía Neurosurgery

Servicios de transporte sin carácter de emergencia

Non-Emergency Transportation

Cardiología nuclear Nuclear Cardiology

Medicina nuclear Nuclear Medicine

Radiología nuclear Nuclear Radiology

Enfermeras parteras Nurse Midwife

Nutrición Nutrition

Obstetricia Obstetrics

Obstetricia/ Ginecología

Obstetrics/ Gynecology

Medicina ocupacional

Occupational Medicine

Terapia ocupacional Occupational Therapy

Oftalmología Ophthalmology

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Español Inglés

Óptico Optician

Optometría Optometry

Cirugía oral y maxilofacial

Oral & Maxillofacial Surgery

Ortodoncia Orthodontics

Cirugía ortopédica Orthopaedic Surgery

Ortésica Orthotics

Ortopedia y prostética

Orthotics & Prosthetics

Establecimiento quirúrgico para pacientes ambulatorios

Outpatient Surgical Facility

Tratamiento del dolor

Pain Management

Apoyo para el tratamiento del dolor

Pain Management Support

Alergias e inmunología pediátricas

Pediatric Allergy & Immunology

Medicina pediátrica del comportamiento

Pediatric Behavioral Medicine

Monitoreo cardíaco pediátrico

Pediatric Cardiac Monitoring

Cardiología pediátrica Pediatric Cardiology

Cirugía cardiovascular pediátrica

Pediatric Cardiovascular Surgery

Dermatología pediátrica

Pediatric Dermatology

Otorrinolaringología pediátrica

Pediatric Ear, Nose & Throat

Endocrinología pediátrica

Pediatric Endocrinology

Gastroenterología pediátrica

Pediatric Gastroenterology

Genética pediátrica Pediatric Genetics

Español Inglés

Hematología/ oncología pediátricas

Pediatric Hematology/ Oncology

Enfermedades infecciosas pediátricas

Pediatric Infectious Disease

Nefrología pediátrica Pediatric Nephrology

Neurología pediátrica Pediatric Neurology

Neurocirugía pediátrica

Pediatric Neurosurgery

Oncología pediátrica Pediatric Oncology

Oftalmología pediátrica

Pediatric Ophthalmology

Ortopedia pediátrica Pediatric Orthopaedics

Cirugía ortopédica pediátrica

Pediatric Orthopedic Surgery

Psiquiatría pediátrica Pediatric Psychiatry

Neumonología pediátrica

Pediatric Pulmonology

Medicina de rehabilitación pediátrica

Pediatric Rehabilitation Medicine

Reumatología pediátrica

Pediatric Rheumatology

Medicina deportiva pediátrica

Pediatric Sports Medicine

Cirugía pediátrica Pediatric Surgery

Hepatología pediátrica y trasplante

Pediatric Transplant Hepatology

Urología pediátrica Pediatric Urology

Pediatría Pediatrics

Comportamiento y desarrollo pediátrico

Pediatrics Behavioral & Developmental

Pedodoncia Pedodontics

Periodoncia Periodontics

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Español Inglés

Servicios de cuidado personal

Personal Care Services

Servicios personales de respuesta de emergencias

Personal Emergency Response System

Farmacia Pharmacy

Medicina física y rehabilitación

Physical Medicine & Rehabilitation

Terapia física Physical Therapy

Laboratorio de fisiología

Physiological Lab

Cirugía plástica y reconstructiva

Plastic & Reconstructive Surgery

Podiatría Podiatry

Medicina preventiva Preventive Medicine

Centro de cuidado primario

Primary Care Center

Aparatos protésicos Prosthetics

Prostodoncia Prosthodontics

Psiquiatría Psychiatry

Psicología Psychology

Medicina psicosomática

Psychosomatic Medicine

Enfermedad pulmonar

Pulmonary Disease

Oncología radioterápica

Radiation Oncology

Radioterapia Radiation Therapy

Centro de radioterapia

Radiation Therapy Center

Radiología intervencional y vascular

Radiology - Interventional & Vascular

Español Inglés

Centro de rehabilitación

Rehabilitation Facility

Medicina de rehabilitación

Rehabilitation Medicine

Terapia de rehabilitación

Rehabilitation Therapy

Endocrinología reproductiva

Reproductive Endocrinology

Terapia respiratoria Respiratory Therapy

Servicios de cuidado de relevo

Respite Care Services

Reumatología Rheumatology

Centro de salud rural Rural Health Center

Cuidado autodirigido Self-Directed Care

Centro de enfermería especializada

Skilled Nursing Facility

Estudios de diagnóstico del sueño

Sleep Diagnostic Studies

Medicina del sueño Sleep Medicine

Cuidado diurno social Social Day Care

Terapia del habla Speech Therapy

Medicina para lesiones de médula espinal

Spinal Cord Injury Medicine

Medicina deportiva Sports Medicine

Cuidado subagudo Sub-Acute Care

Abuso de sustancias Substance Abuse

Oncología quirúrgica Surgical Oncology

Monitoreo telecardíaco

Tele-Cardiac Monitoring

Cirugía torácica y cardiovascular

Thoracic & Cardiovascular Surgery

Cirugía torácica Thoracic Surgery

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* These are only some of the provider types. You can find a specific kind of provider in the Specialty Index. It can be found in the back of this book.

* Estos son solo algunos de los tipos de proveedores. Usted puede encontrar un tipo específico de proveedor en el Índice de especialidades que encontrará en la parte posterior de este libro.

Español Inglés

Tórax/sistema vascular

Thoracic/Vascular

Hepatología de trasplante

Transplant Hepatology

Centro de cuidado urgente

Urgent Care Center

Urología Urology

Español Inglés

Oncología urológica Urology Oncology

Urología/ginecología Urology/Gynecology

Laboratorio vascular Vascular Lab

Medicina vascular Vascular Medicine

Cirugía vascular Vascular Surgery

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South Carolina Regional MapMapa regional de South Carolina

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List of Plan Providers Lista de proveedores del plan

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Primary Care Providers

Chesterfield

Family Practice

Barton, Garrett MD Provider ID: 1645139Gender: MaleMcleod Family Medicine Cheraw710 Chesterfield HwyCheraw, SC 29520-7001(843) 537-2171Fax: (843) 537-5926Mon - Fri 8:00 to 5:00PCMH: No

Barton, Kinzie MD Provider ID: 1695889Gender: FemalePalmetto Family Medicine Of Chester316 2nd StCheraw, SC 29520-2404(843) 921-4851Fax: (843) 921-4854Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00PCMH: No

Biester, Christina MD Provider ID: 769529Gender: MaleCsc ChesterfieldSubspecialty: HRSA FQHC500 West BlvdChesterfield, SC 29709-1402(843) 623-5080Fax: (843) 623-5081Mon - Fri 8:30 to 5:00PCMH: No

Maxwell, Crystal MD Provider ID: 767429Gender: FemaleSandhills Medical FoundationSubspecialty: HRSA FQHC409 E Church StJefferson, SC 29718-8701(843) 658-3005Fax: (843) 658-7780Mon - Fri 8:00 to 8:00PCMH: No

Novinger, Travis MD Provider ID: 1033712Gender: MalePalmetto Family Medicine316 2nd StCheraw, SC 29520-2404(843) 921-4851Fax: (843) 921-4854Mon - Fri 8:00 to 5:00PCMH: No


Biester, Christina MD Provider ID: 769529Gender: MaleCsc ChesterfieldSubspecialty: HRSA FQHC500 West BlvdChesterfield, SC 29709-1402(843) 623-5080Fax: (843) 623-5081Mon - Fri 8:30 to 5:00PCMH: No

Internal Medicine

Edosomwan, Emmanuel MD Provider ID: 900896Gender: MaleAmericare Health Pageland905 N Pearl StPageland, SC 29728-1522(843) 672-3100Fax: (843) 672-3102Mon - Fri 9:00 to 5:00 Sat 9:00 to 2:00PCMH: No

Olatosi, Akinwale MD Provider ID: 769084Gender: MaleSandhills Medical Foundation645 S Seventh StMc Bee, SC 29101(843) 334-8291Fax: (843) 335-8731Mon - Fri 8:00 to 5:00PCMH: No

Olatosi, Akinwale MD Provider ID: 831059Gender: MaleSandhills Med FoundationSubspecialty: HRSA FQHC409 E Church StJefferson, SC 29718(803) 778-2442Fax: (803) 778-0880Mon - Fri 9:00 to 5:00PCMH: No

Pediatrics

Schultz, Agnes MD Provider ID: 768131Gender: FemaleCheraw Pediatrics P A119 Chesterfield HwyCheraw, SC 29520-7113(843) 537-1811Fax: (843) 537-1802Mon - Fri 8:30 to 5:00PCMH: No

Thomas, Jude MD Provider ID: 1346885Gender: MaleMcleod Pediatrics Cheraw723 S Doctors DrCheraw, SC 29520-7108(843) 537-9360Fax: (843) 537-9710Mon - Fri 8:00 to 5:00PCMH: No

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Darlington

Family Practice

Ambrose, Michael MD Provider ID: 769348Gender: MaleThe Medical Group701 Medical Park Dr, Ste 302303Hartsville, SC 29550(843) 383-5191Fax: (843) 383-4142Mon - Fri 9:00 to 5:00PCMH: No

Barrett, Michael MD Provider ID: 1648429Gender: MaleGenesis Health Care Inc DBA Lamar F301 W Main StLamar, SC 29069-7102(843) 395-8400Fax: (803) 254-3678Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00PCMH: No

Bell, Thomas MD Provider ID: 768352Gender: MaleThe Medical Group701 Medical Park Dr, Ste 305Hartsville, SC 29550-4779(843) 339-3040Fax: (843) 656-1073Mon - Fri 9:00 to 5:00PCMH: No

Biester, Christina MD Provider ID: 769529Gender: Male201 S 5th StHartsville, SC 29550-4211(843) 309-8301Fax: (843) 378-9962PCMH: No

Conner, Daniel DO Provider ID: 2041207Gender: MaleCaresouth Carolina Inc.1268 S 4th StHartsville, SC 29550-0703(843) 332-3422Mon - Fri 8:30 to 5:00PCMH: No

Davis, William MD Provider ID: 767349Gender: MaleHartsville Medical Group LLC701 Medical Park Dr, Ste 300Hartsville, SC 29550-4779(843) 383-5191Fax: (843) 383-4142Mon - Fri 9:00 to 5:00PCMH: No

Dickinson, Thomas MD Provider ID: 769287Gender: MaleMcleod Urgent Care Darlington964 Lochend DrDarlington, SC 29532-5698(843) 777-6890Fax: (843) 777-6891Mon - Fri 8:00 to 9:00 Sat 9:00 to 4:00 Sun 11:00 to 4:00PCMH: No

Duncan, Jeniqua DO Provider ID: 1567349Gender: FemaleCaresouth Carolina IncSubspecialty: HRSA FQHC1268 S 4th StHartsville, SC 29550-0703(843) 332-3422Fax: (843) 332-3985Mon - Fri 8:00 to 5:30PCMH: No

Elder, Robert MD Provider ID: 1304737Gender: MaleHartsville Medical Associates LLC206 Swift Creek RdHartsville, SC 29550(843) 917-4117Fax: (843) 917-4590Mon - Fri 8:00 to 5:00PCMH: No

Harless, Michael MD Provider ID: 1304735Gender: MaleHartsville Medical Associates LLC206 Swift Creek RdHartsville, SC 29550(843) 917-4117Fax: (843) 917-4590Mon - Fri 8:00 to 5:00PCMH: No

Lilly, Douglass MD Provider ID: 862996Gender: MaleMcleod Family Medicine Darlington701 Cashua Ferry RdDarlington, SC 29532-8488(843) 777-7072Fax: (843) 398-7028Mcleod Medica Center DarlingtonMcleod Regional Medical CenterMon - Fri 8:00 to 5:00PCMH: No

Long, William MD Provider ID: 1314260Gender: MalePalmetto Family Medicine And Senior420 W Carolina AveHartsville, SC 29550(843) 917-4977Fax: (888) 854-0390Mon - Fri 8:00 to 5:00PCMH: No


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Darlington

Family Practice - cont.

Martin, William MD Provider ID: 1579514Gender: MaleHartsville Medical Group LLC701 Medical Park Dr, Ste 207Hartsville, SC 29550-4778(843) 383-5171Fax: (843) 332-9229Mon - Fri 8:30 to 5:00PCMH: No

Mendez, Luz MD Provider ID: 1304736Gender: FemaleHartsville Medical Associates LLC206 Swift Creek RdHartsville, SC 29550(843) 917-4117Fax: (843) 917-4590Mon - Fri 8:00 to 5:00PCMH: No

Mendoza Olivero, Isabel MD

Provider ID: 1260982Gender: FemaleLamar301 W Main St, Ste ALamar, SC 29069-7102(843) 395-8410Fax: (843) 395-8401Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00PCMH: No

Moyd, Pickens MD Provider ID: 768361Gender: MaleCsc Society HillSubspecialty: HRSA FQHC737 S Main StSociety Hill, SC 29593-8972(843) 378-4501Fax: (843) 378-4209Mon - Fri 8:30 to 5:00PCMH: No

Owens, Daniel MD Provider ID: 901362Gender: MaleMcleod Family Medicine Darlington701 Cashua Ferry RdDarlington, SC 29532(843) 398-8500Fax: (843) 391-2039Mon - Fri 8:00 to 5:00PCMH: No

Powell, Joseph MD Provider ID: 767554Gender: MaleThe Medical Group701 Medical Park Dr, Ste 305Hartsville, SC 29550(843) 339-3040Fax: (843) 332-2240Mon - Fri 9:00 to 5:00PCMH: No

Ropp, John MD Provider ID: 1308912Gender: MalePalmetto Family Medicine And Senior420 W Carolina AveHartsville, SC 29550(843) 917-4968Fax: (888) 854-0390Mon - Fri 8:00 to 5:00PCMH: No

Scharstein, Jeffrey MD Provider ID: 768569Gender: MaleMcleod Family Medicine Of Darlingto701 Cashua Ferry RdDarlington, SC 29532(843) 777-7058Fax: (843) 391-2028Mon - Fri 8:00 to 5:00PCMH: No

Sherwin, David MD Provider ID: 2234413Gender: MaleMusc Physicians Primary Care Darlin301 Pearl StDarlington, SC 29532-3812(843) 413-6891Mon - Fri 8:00 to 5:00PCMH: No

Smith, Stephen MD Provider ID: 767550Gender: MaleCaresouth Carolina Inc737 S Main StSociety Hill, SC 29593-8972(843) 378-4501Fax: (843) 378-4209Carolina Pines Regional Medical CenterMon - Fri 8:30 to 5:00PCMH: No

Sponseller, Kevin MD Provider ID: 1271725Gender: MaleThe Medical Group701 Medical Park Dr, Ste 207Hartsville, SC 29550(843) 656-1200Fax: (843) 332-9229Mon - Fri 8:00 to 5:00PCMH: No

Sponseller, Brian MD Provider ID: 1580150Gender: MaleHartsville Medical Group LLC701 Medical Park Dr, Ste 207Hartsville, SC 29550-4778(843) 383-5171Fax: (843) 332-9229Mon - Fri 8:00 to 5:00PCMH: No


37719585



Darlington


Washington, Tonya MD Provider ID: 1812257Gender: FemaleHartsville Medical Group LLC1304 W Bobo Newsom HwyHartsville, SC 29550-4710(843) 383-5191Fax: (843) 383-6456Mon - Fri 8:00 to 5:00PCMH: No

Welch, Priscilla MD Provider ID: 769352Gender: FemalePee Dee Healthcare201 Cashua StDarlington, SC 29532(843) 396-9730Fax: (843) 395-8435Mon - Fri 9:00 to 5:00PCMH: No


Moyd, Pickens MD Provider ID: 768361Gender: MaleCsc Society HillSubspecialty: HRSA FQHC737 S Main StSociety Hill, SC 29593-8972(843) 378-4501Fax: (843) 378-4209Mon - Fri 8:30 to 5:00PCMH: No

General Practice

Mcinnis, James MD Provider ID: 1311540Gender: MalePee Dee Healthcare201 Cashua StDarlington, SC 29532(843) 393-7452Fax: (843) 393-6210Mon - Fri 8:00 to 5:00PCMH: No

Internal Medicine

Aduako, Cecilia MD Provider ID: 1240297Gender: FemaleCaresouth Carolina Inc.1268 S 4th StHartsville, SC 29550(843) 332-3422Fax: (843) 332-3985Mon - Fri 7:30 to 6:00 Sat 9:00 to 1:00PCMH: No

Chapman, Raymond MD Provider ID: 768932Gender: MaleHartsville Medical Group LLC701 Medical Park Dr, Ste 305Hartsville, SC 29550-4779(843) 383-5191Fax: (843) 656-1194Mon - Fri 9:00 to 5:00PCMH: No

Heaster, Brian MD Provider ID: 767477Gender: MaleGenesis Healthcare Inc201 Cashua StDarlington, SC 29532(843) 393-7452Fax: (843) 393-6210Mon - Fri 8:00 to 5:00PCMH: No

Maqsood, Farhan MD Provider ID: 769154Gender: MaleHartsville Medical Group LLC701 Medical Park Dr, Suite 302 303Hartsville, SC 29550-4777(843) 383-3634Fax: (843) 383-4142Mon - Fri 9:00 to 5:00PCMH: No

Reynolds, Susan MD Provider ID: 767483Gender: FemaleThe Medical Group701 Medical Park Dr, Ste 304Hartsville, SC 29550-4779(843) 383-5191Fax: (843) 332-9125Mon - Fri 9:00 to 5:00PCMH: No

Senseney, Anna MD Provider ID: 1607198Gender: FemaleHartsville Medical Group LLC701 Medical Park Dr, Ste 304Hartsville, SC 29550-4779(843) 383-0713Fax: (843) 656-1076Mon - Fri 8:00 to 5:00PCMH: No

Pediatrics

Bardi, Christopher MD Provider ID: 767350Gender: MaleEastern Carolina Pediatrics PC105 Industrial WayDarlington, SC 29532-0000(843) 395-0015Fax: (843) 667-6791Mon - Fri 8:30 to 5:00PCMH: No

Budhram, Solomon MD Provider ID: 768434Gender: MaleChildrens Group PC604 N 5th StHartsville, SC 29550-3212(843) 332-6645Fax: (843) 332-9894Carolina Pines Regional Medical CenterMon - Fri 8:30 to 5:00 Sat 9:00 to 11:00PCMH: No


37719585



Darlington

Pediatrics - cont.

Davis, Richard MD Provider ID: 769350Gender: MaleEastern Carolina Pediatrics Pa105 Industrial WayDarlington, SC 29532(843) 395-0015Fax: (843) 667-6791Mon - Fri 8:30 to 5:00PCMH: No

Japitana, Marian MD Provider ID: 1230985Gender: FemaleThe Childrens Group P C604 N 5th StHartsville, SC 29550-3212(843) 332-6645Fax: (843) 332-9894Carolina Pines Regional Medical CenterMon - Fri 8:30 to 5:00 Sat 9:00 to 11:00PCMH: No

Keith, John MD Provider ID: 767024Gender: MaleEastern Carloina Pediatrics PC105 Industrial WayDarlington, SC 29532(843) 395-0015Fax: (843) 393-0971Mon - Fri 8:30 to 5:00PCMH: No

Morphis, James MD Provider ID: 768497Gender: MaleMorphis Pediatric Group708 Medical Park DrHartsville, SC 29550(843) 332-5121Fax: (843) 332-0993Carolina Pines Regional Medical CenterMon - Sat 8:30 to 5:00 Sun 12:30 to 5:00PCMH: No

Morphis, Elizabeth MD Provider ID: 769066Gender: Female1304 W Bobo Newsom HwyHartsville, SC 29550-4710(843) 339-2100Carolina Pines Regional Medical CenterMusc Lancaster Medical CenterPCMH: No

Morphis, Elizabeth MD Provider ID: 769066Gender: FemaleMorphis Ped Group708 Medical Park DrHartsville, SC 29550(843) 332-5121Fax: (843) 332-0993Carolina Pines Regional Medical CenterMusc Lancaster Medical CenterMon - Fri 9:00 to 12:00PCMH: No

Ovanna Budhram, Joni MD Provider ID: 769318Gender: FemaleChildrens Group PC604 N 5th StHartsville, SC 29550-3212(843) 332-6645Fax: (843) 332-9894Carolina Pines Regional Medical CenterMon - Fri 8:30 to 5:00 Sat 9:00 to 11:00PCMH: No


37719585



Dillon

Family Practice

Fitzgibbon, Timothy MD Provider ID: 768189Gender: MaleDillon Family Medicine Pa603 N 6th AveDillon, SC 29536(843) 774-7336Fax: (843) 774-3745Mon - Fri 8:00 to 6:00 Sat 9:00 to 12:00PCMH: No

Fleming, James MD Provider ID: 1331576Gender: MaleCaresouth Carolina Inc.Subspecialty: HRSA FQHC122 Latimer StLatta, SC 29565-1828(843) 857-0111Fax: (843) 627-6271Mon - Fri 8:30 to 5:00PCMH: No

Freel, Paul MD Provider ID: 768393Gender: MaleDillon Family Medicine Pa603 N 6th AveDillon, SC 29536(843) 774-7336Fax: (843) 774-7331Mon - Fri 8:00 to 6:00PCMH: No

Shealy, Robin MD Provider ID: 767210Gender: FemaleDillon Family Medicine Pa603 N 6th AveDillon, SC 29536(843) 774-7336Fax: (843) 774-9942Mon - Fri 8:00 to 6:00 Sat 9:00 to 12:00PCMH: No

Vance, Stephen MD Provider ID: 767209Gender: MaleDillon Family Medicine Pa603 N 6th AveDillon, SC 29536(843) 774-7336Fax: (843) 774-3745Mon - Fri 8:00 to 6:00PCMH: No

Internal Medicine

Kelly, James MD Provider ID: 912227Gender: FemaleDillon Internal Medicine Associates705 N 8th Ave, Ste 1aDillon, SC 29536-2549(843) 774-2478Fax: (843) 774-0293Mon - Fri 8:30 to 5:00PCMH: No

Odin, Alto DO Provider ID: 1801218Gender: MaleDillon Internal Medicine Associates705 N 8th Ave, Ste 1aDillon, SC 29536-2549(843) 774-2478Fax: (843) 774-0293Mon, Wed - Fri 8:30 to 5:00 Tue 8:30 to 12:00PCMH: No

Wallace, James MD Provider ID: 1801930Gender: MaleDillon Internal Medicine Associates705 N 8th Ave, Ste 1aDillon, SC 29536-2549(843) 774-2478Fax: (843) 774-0293Mon - Tue, Thu - Fri 8:30 to 5:00 Wed 8:30 to 1:00PCMH: No

Wallace, James MD Provider ID: 912226Gender: MaleDillon Internal Medicine Associates705 N 8th Ave, Ste 1aDillon, SC 29536-2549(843) 774-2478Fax: (843) 774-0293Mon - Fri 8:30 to 5:00PCMH: No

Obstetrics/Gynecology

Brooks, Melissa MD Provider ID: 996098Gender: FemaleMcleod OBGYN Dillon706 N 8th AveDillon, SC 29536-2549(843) 841-3825Fax: (843) 841-3830Mon - Fri 8:00 to 5:00PCMH: No

Pediatrics

Ramirez, Yvonne MD Provider ID: 769332Gender: FemaleMcleod Physician Associates II705 N 8th Ave, Ste 3aDillon, SC 29536-2549(843) 774-6091Fax: (843) 841-3814Mon - Thu 9:00 to 5:00 Fri 8:30 to 5:00 Sat 9:00 to 2:30PCMH: No

Wangeh, Joseph MD Provider ID: 821326Gender: MaleMcleod Pediatrics Dillon705 N 8th Ave, Ste 3aDillon, SC 29536(843) 774-6091Fax: (843) 841-3814Mon - Fri 9:00 to 5:00PCMH: No


37719585



Florence

Family Practice

Acaylar, Joseph MD Provider ID: 1066564Gender: MaleSubspecialty: HRSA FQHC360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 346-7687Mon - Fri 8:00 to 5:00PCMH: No

Acaylar, Joseph MD Provider ID: 843141Gender: MaleHopehealth IncSubspecialty: HRSA FQHC210 E Market StTimmonsville, SC 29161(843) 346-3730Fax: (843) 346-7687Mon - Fri 8:30 to 5:00PCMH: No

Alexander, Clarence MD Provider ID: 767222Gender: MaleMedical Plaza Family Medicine800 E Cheves St, Ste 310Florence, SC 29506-2652(843) 679-7272Fax: (843) 679-7215Mon - Fri 9:00 to 5:00PCMH: No

Angus, Joslyn MD Provider ID: 769753Gender: MaleJeter Skinner Family Practice101 S Ravenel St, Ste 160Florence, SC 29506(843) 662-1533Fax: (843) 679-7273Mon - Wed 8:30 to 5:00 Thu - Fri 9:00 to 5:00PCMH: No

Artis Bacote, Karen NP Provider ID: 1849507Gender: FemaleMusc Physicians Express Care Floren1925 Hoffmeyer RdFlorence, SC 29501(843) 413-6925Musc Health Florence Medical CenterMon - Fri 2:00 to 10:00 Sat 9:00 to 6:00PCMH: No

Atkinson, Ernest MD Provider ID: 767197Gender: MaleMusc Physicians Primary Care Lake C148 Sauls St, Ste CLake City, SC 29560(849) 699-9183Fax: (843) 699-9518Musc Health Florence Medical CenterMon, Wed - Fri 8:00 to 5:00 Tue 2:00 to 10:00PCMH: No

Azizzadeh, Naceme DO Provider ID: 1286616Gender: Female144 N Ravenel StreetFlorence, SC 29506(843) 777-2800Fax: (843) 777-2810PCMH: No

Barrett, Michael MD Provider ID: 768573Gender: MaleJeter Skinner Family Practice101 S Ravenel St, Ste 160Florence, SC 29506(843) 662-1533Fax: (843) 679-7273Mon - Wed 8:30 to 5:00 Thu - Fri 9:00 to 5:00PCMH: No

Beeraka, Prakash MD Provider ID: 770741Gender: MaleMcleod Oncology And Hematology Asso101 S Ravenel St, Ste 160Florence, SC 29506-2635(843) 662-1533Fax: (843) 679-7273Mon - Fri 8:30 to 5:00PCMH: No

Beeraka, Prakash MD Provider ID: 770741Gender: MaleMcleod Oncology And Hematology Asso3015 W Palmetto StFlorence, SC 29501-5935(866) 713-8052Mon - Fri 9:00 to 5:00PCMH: No

Behling, Donald MD Provider ID: 768084Gender: MaleMedical Plaza Family Medicine800 E Cheves St, Ste 310Florence, SC 29506(843) 679-7272Fax: (843) 679-7215Mon - Fri 8:00 to 5:00PCMH: No

Behling, Edward MD Provider ID: 913506Gender: MaleHopehealth210 E Market StTimmonsville, SC 29161-1812(843) 346-3730Mon - Fri 8:00 to 5:00PCMH: No


37719585



Florence


Booth, John MD Provider ID: 769476Gender: MaleFlorence Health Care523 S Dargan StFlorence, SC 29506(843) 679-4260Fax: (843) 679-4264Mon - Fri 8:30 to 6:00PCMH: No

Brown, Traesa MD Provider ID: 1640140Gender: FemaleSelect Family Medicine LLC312 S Mcqueen StFlorence, SC 29501-4723(843) 799-2978Fax: (843) 799-2980Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00PCMH: No

Brown, Morris MD Provider ID: 769275Gender: MaleLake City Family Medicine901 N Matthews RdLake City, SC 29560-7024(843) 374-8380Fax: (843) 374-5247Lake City Community HospitalMon - Fri 8:00 to 4:30PCMH: No

Browning, Gregory MD Provider ID: 1558411Gender: MaleHopehealth IrbySubspecialty: HRSA FQHC360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00PCMH: No

Cohen, Alexander MD Provider ID: 919501Gender: MaleGenesis Health Care Inc211 S Jones RdOlanta, SC 29114-9705(843) 393-7452Fax: (843) 395-8435Mon - Fri 8:00 to 5:00PCMH: No

Dickinson, Thomas MD Provider ID: 769287Gender: MaleMcleod Urgent Care Center3015 W Palmetto StFlorence, SC 29501-5935(843) 777-6870Fax: (843) 777-6871Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 4:00PCMH: No

Faile, Kenneth MD Provider ID: 769124Gender: MaleMcleod Family Medicine Of John-sonvi355 S Georgetown HwyJohnsonville, SC 29555(843) 380-2000Fax: (843) 380-2014Mon - Fri 9:00 to 5:00PCMH: No

Hanna, Brian MD Provider ID: 767940Gender: MaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00PCMH: No

Haskill Strowd, Rebecca MD

Provider ID: 1802998Gender: FemaleMcleod Primary Care Associates800 E Cheves St, Ste 200Florence, SC 29506-2651(843) 777-9190Fax: (843) 679-7273Mon - Fri 8:00 to 5:00PCMH: No

Hicks, Ashley MD Provider ID: 2049133Gender: FemaleMusc Physicians Primary Care Hoffme1925 Hoffmeyer RdFlorence, SC 29501-4011(843) 679-4214Fax: (843) 679-4217Mon - Fri 8:00 to 5:00PCMH: No

Hoffmeyer, Margaret MD Provider ID: 767459Gender: FemaleHoffmeyer Margaret H125 S Cashua DrFlorence, SC 29501-4001(843) 667-3273Fax: (843) 667-8876Mon - Fri 9:00 to 5:00PCMH: No

Howell, Richard MD Provider ID: 777454Gender: MaleMcleod Family Medicine Center555 E Cheves StFlorence, SC 29506(843) 777-2800Fax: (843) 777-5350Mon - Fri 8:30 to 5:00PCMH: No


37719585



Florence


Hoyle, Joseph MD Provider ID: 1486760Gender: MaleHopehealth IrbySubspecialty: HRSA FQHC360 N Irby StFlorence, SC 29501(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00PCMH: No

Hyler, Daniel MD Provider ID: 769397Gender: MaleHopehealth IrbySubspecialty: HRSA FQHC360 N Irby StFlorence, SC 29501(843) 667-9414Fax: (843) 667-1362Mon - Fri 8:00 to 8:00PCMH: No

Ignacio, Iris MD Provider ID: 1207985Gender: MaleMusc Physicians Pee Dee Primary Car1594 Freedom Blvd, Ste C202Florence, SC 29505(843) 664-9696Fax: (843) 629-7029Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00PCMH: No

Jackson, Kimberly MD Provider ID: 1445505Gender: FemaleMcleod Primary Care Associates800 E Cheves St, Ste 200Florence, SC 29506-2651(843) 662-1502Fax: (843) 678-3611Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:00PCMH: No

Jackson-Dozier, Focell MD Provider ID: 901063Gender: FemaleMcleod Family Practice Of Timmonsvi755 E Smith StTimmonsville, SC 29161-9430(843) 346-3900Fax: (843) 346-7839Mon - Thu 7:00 to 5:00 Fri 7:00 to 12:00PCMH: No

Jebaily, Gerard MD Provider ID: 768595Gender: MaleMcleod Family Medicine Center144 N Ravenel StFlorence, SC 29506(843) 777-2800Fax: (843) 777-2810Mon - Fri 8:30 to 5:00PCMH: No

Jebaily, Patrick MD Provider ID: 814518Gender: MaleMedical Plaza Family Medicine800 E Cheves St, Ste 310Florence, SC 29506(843) 679-7272Fax: (843) 679-7215Mon - Fri 9:00 to 5:00PCMH: No

Lamb, Benjamin MD Provider ID: 766831Gender: MaleMusc Physicians Primary Care Lake C148 Sauls St, Ste CLake City, SC 29560-2677(843) 374-3621Fax: (843) 355-3624Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00PCMH: No

Lanning Lowther, Lisa DO Provider ID: 1505053Gender: FemaleHopehealth Irby360 N Irby StFlorence, SC 29501(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00PCMH: No

Macdonald, Allan MD Provider ID: 767621Gender: MaleMcleod Family Medicine Center555 E Cheves StFlorence, SC 29506(843) 777-2800Fax: (843) 777-5350Mon - Fri 8:30 to 5:00PCMH: No

Mattheis, John MD Provider ID: 766961Gender: MaleMcleod Family Medicine Center555 E Cheves StFlorence, SC 29506(843) 777-2800Fax: (843) 777-5350Mon - Fri 8:30 to 5:00PCMH: No

Mcclary, Guy MD Provider ID: 956708Gender: MaleMedical Plaza Family Medicine800 E Cheves St, Ste 310Florence, SC 29506-2652(843) 679-7272Fax: (843) 679-7215Mon - Fri 8:00 to 5:00PCMH: No


37719585



Florence


Mims, Albert MD Provider ID: 768630Gender: MaleMusc Physicians Primary Care Lake C148 Sauls St, Ste CLake City, SC 29560-2631(843) 374-3621Fax: (843) 699-9518Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00PCMH: No

Mizelle, Donna MD Provider ID: 1784199Gender: FemaleTandem Health Sc370 S Pike WestSumter, SC 29161(803) 774-4500Mon - Fri 8:00 to 5:00PCMH: No

Mohr III, Richard MD Provider ID: 2240104Gender: MaleFamily Medicine And Mohr1505 Heritage Ln, # AFlorence, SC 29505-3141(843) 407-9010Fax: (847) 407-9032Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00PCMH: No

Morris, Judy NP Provider ID: 1849581Gender: FemaleMusc Physicians Express Care Floren1925 Hoffmeyer Rd, Ste 100Florence, SC 29501-4011(842) 413-6925Musc Health Florence Medical CenterMon - Fri 2:00 to 10:00 Sat 9:00 to 6:00PCMH: No

Paschal, Hudnall MD Provider ID: 904343Gender: MaleMusc Physicians Pee Dee Primary Car1594 Freedom Blvd, Ste C202Florence, SC 29505-6046(843) 664-9696Fax: (843) 629-7229Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00PCMH: No

Reynolds, Brandie MD Provider ID: 1067705Gender: FemaleMusc Physicians Primary Care Pampli953 S Pamplico HwyPamplico, SC 29583(843) 493-5252Fax: (843) 493-2372Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00PCMH: No

Rowson, Abraham MD Provider ID: 1260945Gender: MaleCornerstone Primary Care LLC2500 Hoffmeyer RdFlorence, SC 29501-7407(843) 665-0102Fax: (843) 665-0026Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00PCMH: No

Samaha, Anne MD Provider ID: 897086Gender: FemaleMusc Physicians Primary Care Hoffme1925 Hoffmeyer RdFlorence, SC 29501-4011(843) 679-4214Fax: (843) 679-4217Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00PCMH: No

Scott, Michele MD Provider ID: 1579632Gender: FemaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00PCMH: No

Shelton, Heather MD Provider ID: 769667Gender: FemaleMcleod Family Medicine South611 2nd Loop RdFlorence, SC 29505-2820(843) 777-9460Fax: (843) 678-3610Mon - Fri 8:00 to 5:00PCMH: No

Singh, Varinder MD Provider ID: 1801636Gender: FemaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00PCMH: No

Smith, Cory MD Provider ID: 768279Gender: MaleMedical Plaza Family Medicicne800 E Cheves St, Ste 310Florence, SC 29506-2652(843) 679-7272Fax: (843) 679-7215Mon - Fri 9:00 to 5:00PCMH: No


37719585



Florence


Stanley, Christopher MD Provider ID: 1629824Gender: MaleMcleod Orthopaedics- Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00PCMH: No

Steadman, Mark MD Provider ID: 772299Gender: MaleMusc Physicians Pee Dee Primary Car1594 Freedom Blvd, Ste C202Florence, SC 29505-6046(843) 664-9696Fax: (843) 669-1668Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00PCMH: No

Strickland, Stephanie MD Provider ID: 1147034Gender: FemaleMcleod Family Medicine South611 2nd Loop RdFlorence, SC 29505-2820(843) 777-9460Fax: (843) 678-3610Mon - Fri 8:00 to 5:00PCMH: No

Williams, Ryan DO Provider ID: 1710515Gender: MaleFlorence Family Medicine315 N Beltline Dr, Ste EFlorence, SC 29501-7420(843) 407-8192Fax: (866) 421-2723Mon - Fri 8:00 to 5:00PCMH: No


Acaylar, Joseph MD Provider ID: 1066564Gender: MaleSubspecialty: HRSA FQHC360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 346-7687Mon - Fri 8:00 to 5:00PCMH: No

Demarco, Paul MD Provider ID: 768520Gender: MaleHopehealthSubspecialty: HRSA FQHC121 S Evander DrFlorence, SC 29506-4212(843) 661-1848Fax: (843) 661-1818Mon 1:00 to 5:00 Tue, Thu 8:30 to 5:00 Fri 8:30 to 12:00PCMH: No

General Practice

Mcinnis, James MD Provider ID: 1311538Gender: MaleOlanta Family Care211 S Jones RdOlanta, SC 29114(843) 396-9730Fax: (843) 396-9735Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00PCMH: No

Internal Medicine

Adabala, Nivedita MD Provider ID: 1838402Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00PCMH: No

Anyim, Alecia MD Provider ID: 1362208Gender: FemaleGenesis Health Care Inc. Florence1523 Heritage Ln, Unit BFlorence, SC 29505-3197(843) 673-0900Fax: (843) 665-5851Mon - Fri 8:00 to 5:00PCMH: No

Demarco, Paul MD Provider ID: 768520Gender: MaleHopehealthSubspecialty: HRSA FQHC121 S Evander DrFlorence, SC 29506-4212(843) 661-1848Fax: (843) 661-1818Mon 1:00 to 5:00 Tue, Thu 8:30 to 5:00 Fri 8:30 to 12:00PCMH: No

Donato, Eduardo MD Provider ID: 900495Gender: MaleMusc Physicians Primary Care Floren1594 Freedom Blvd, Ste C102Florence, SC 29505-6046(843) 679-4221Fax: (843) 679-4268Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00PCMH: No

Heaster, Brian MD Provider ID: 767478Gender: MaleGenesis Healthcare Inc211 S Jones RdOlanta, SC 29114-9705(843) 396-9730Fax: (803) 403-9570Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00PCMH: No


37719585



Florence

Internal Medicine - cont.

Lyles, Kelly MD Provider ID: 913625Gender: FemaleHopehealth IrbySubspecialty: HRSA FQHC360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00PCMH: No

Maroney, Constance MD Provider ID: 2279835Gender: FemaleMcleod Internal Medicine Associ-ates800 E Cheves St, Ste 400Florence, SC 29506-2649(843) 777-7341Fax: (843) 777-7345Mon - Fri 9:00 to 5:00PCMH: No

Maroney, Constance MD Provider ID: 776124Gender: FemaleMcleod Primary Care Associates800 E Cheves St, Ste 200Florence, SC 29506(843) 662-1502Fax: (803) 678-3611Mon - Fri 9:00 to 5:00PCMH: No

Moore, Ellen MD Provider ID: 1289779Gender: FemaleMcmcleod Primary Care Associates800 E Cheves St, Ste 200Florence, SC 29506(843) 662-1502Fax: (843) 777-7345Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00PCMH: No

Motiani, Rishika MD Provider ID: 1195997Gender: FemaleHopehealth IrbySubspecialty: HRSA FQHC360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00PCMH: No

Quaye, Emmanuel MD Provider ID: 1345186Gender: MaleMagnolia Healthcare Inc619 S Dargan StFlorence, SC 29506(843) 432-2502Fax: (843) 799-1392Mon - Fri 9:00 to 5:00PCMH: No

Smith, Richard DO Provider ID: 2324162Gender: MaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00PCMH: No

Young, Dierdre MD Provider ID: 1874604Gender: FemaleJeter Skinner Family Practice101 S Ravenel St, Ste 160Florence, SC 29506-2622(843) 662-1533Fax: (843) 679-7273Mon - Fri 8:00 to 5:00PCMH: No

Nurse Practitioner

Foxworth II, Michael MD Provider ID: 901795Gender: MaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00PCMH: No

Pediatrics

Bardi, Christopher MD Provider ID: 817970Gender: MaleEastern Eastern Carolina Pediatric1530 Mclure CtFlorence, SC 29505-5617(843) 667-6710Fax: (843) 667-6791Mon - Fri 8:30 to 5:00PCMH: No

Collins, Charles MD Provider ID: 768918Gender: MalePediatric Associates Of Florence204 E Cheves StFlorence, SC 29506(843) 777-5065Fax: (843) 777-7620Mcleod Regional Medical CenterMon - Fri 8:30 to 5:30 Sat 8:30 to 12:00PCMH: No

Davis, Richard MD Provider ID: 769350Gender: Male805 Pamplico Hwy, Ste A220Florence, SC 29505-6050(843) 674-5000PCMH: No


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Florence

Pediatrics - cont.

Davis, Richard MD Provider ID: 769351Gender: MaleEastern Carolina Pediatrics PC1530 Mclure CtFlorence, SC 29505(843) 667-6710Fax: (843) 667-6791Mon - Fri 8:30 to 5:00PCMH: No

Elder, Benjamin MD Provider ID: 1238816Gender: MalePediatric Associates Of Florence204 E Cheves StFlorence, SC 29506(843) 777-5065Fax: (843) 777-7620Mon - Fri 8:00 to 5:30 Sat 9:00 to 9:00PCMH: No

Graham, Toney MD Provider ID: 768865Gender: MaleGrahams Clinic1278 Moore StLake City, SC 29560(843) 389-7251Fax: (843) 389-7253Mon 7:00 to 6:00 Tue - Wed, Fri 7:00 to 5:00 Thu 7:00 to 1:00PCMH: No

Hill, Karen MD Provider ID: 769016Gender: MalePediatric Associates Of Florence204 E Cheves StFlorence, SC 29506(843) 777-5065Fax: (843) 777-7620Mon - Fri 9:00 to 5:00PCMH: No

Jordan, Meghan MD Provider ID: 2008990Gender: FemalePediatric Associates Of Florence204 E Cheves St, Ste 200Florence, SC 29506-2604(843) 777-5065Fax: (843) 777-7620Mon - Fri 8:00 to 5:00PCMH: No

Jordan, Meghan MD Provider ID: 2008992Gender: FemalePediatric Associates Of Florence3013b W Palmetto StFlorence, SC 29501-5935(843) 777-5065Fax: (843) 777-7630Mon - Fri 8:00 to 5:00PCMH: No

Keith, John MD Provider ID: 767025Gender: MaleEastern Carolina Pediatrics PC1530 Mclure CtFlorence, SC 29505(843) 667-6710Fax: (843) 667-6791Mon - Fri 8:30 to 5:00PCMH: No

Minter, Ellen Patrice MD Provider ID: 767471Gender: FemalePediatric Associates Of Florence204 E Cheves StFlorence, SC 29506(843) 777-5065Fax: (843) 777-7620Mon - Fri 8:00 to 5:00 Sat 9:00 to 12:00PCMH: No

Montes-Ramos, Camille MD Provider ID: 2113646Gender: FemaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00PCMH: No

Naylor, Brian MD Provider ID: 769774Gender: MalePediatric Associates Of Florence204 E Cheves StFlorence, SC 29506(843) 777-5065Fax: (843) 777-7620Mon - Fri 8:30 to 5:30 Sat 9:00 to 12:00PCMH: No

Naylor, Brian MD Provider ID: 769775Gender: MalePediatric Associates Of Florence3013 W Palmetto St, Ste BFlorence, SC 29501-5935(843) 777-7604Mon - Fri 9:00 to 5:00PCMH: No

Spence, Thomas MD Provider ID: 767048Gender: MalePediatric Associates Of Florence204 E Cheves StFlorence, SC 29506(843) 777-5065Fax: (843) 777-7620Mcleod Regional Medical CenterMon - Fri 9:00 to 5:00PCMH: No


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Florence

Pediatrics - cont.

Spence, Timothy MD Provider ID: 768390Gender: MalePediatric Associates Of Florence204 E Cheves StFlorence, SC 29506(843) 777-5065Fax: (843) 777-7620Mon - Fri 9:00 to 5:00PCMH: No

Whitehead, Alva MD Provider ID: 768862Gender: Male555 E Cheves StFlorence, SC 29506-2617(843) 777-2000PCMH: No

Whitehead, Alva MD Provider ID: 768862Gender: MalePediatric Associates Of Florence3013 W Palmetto St, Ste AFlorence, SC 29501-5935(843) 777-7603Fax: (843) 777-7630Mon - Fri 9:00 to 5:00PCMH: No


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Family Practice

Banks, Jerry MD Provider ID: 1265703Gender: MaleCoastal Carolina Primary Care LLC839 82nd PkwyMyrtle Beach, SC 29572(843) 236-1950Fax: (843) 236-1952Mon - Thu 8:30 to 5:00 Fri 8:30 to 4:00PCMH: No

Boggs, Chris MD Provider ID: 1163413Gender: MaleWaterway Family Medicine3600 Sea Mountain Hwy, Ste CLittle River, SC 29566-8161(843) 399-4848Fax: (843) 399-4409Mon - Fri 9:00 to 5:00PCMH: No

Boggs, Chris MD Provider ID: 1343324Gender: MaleWaterway Primary Care LLC4237 River Hills Dr, Ste 150Little River, SC 29566(843) 281-2778Fax: (843) 281-2785Mon, Wed - Thu 8:00 to 5:00PCMH: No

Borst, Christopher MD Provider ID: 1206652Gender: MaleDoctors Care Strand1221 21st Ave NMyrtle Beach, SC 29577-7401(843) 626-9379Fax: (843) 448-0707Mon - Sun 8:00 to 8:00PCMH: No

Bourguillon, Peggy MD Provider ID: 1582287Gender: FemaleLittle River Medical Center Inc.4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8100Mon - Fri 8:30 to 5:30PCMH: No

Brown, Alexis MD Provider ID: 1247392Gender: FemaleGeorgetown Physician Associates LLC4301 Dick Pond RdMyrtle Beach, SC 29588-6807(843) 652-8100Fax: (843) 652-8122Mon - Thu 7:30 to 6:00 Fri 8:00 to 5:00PCMH: No

Chee, Julie MD Provider ID: 2022730Gender: FemaleCoastal Carolina Primary Care LLC839 82nd Parkway, Ste 185Myrtle Beach, SC 29572-4614(843) 848-4640Fax: (843) 839-2382Mon - Fri 8:00 to 5:00PCMH: No

Christensen, Tom MD Provider ID: 1646836Gender: MaleSc House Calls Inc3600 Sea Mountain Hwy, Ste CLittle River, SC 29566(843) 399-4848Fax: (910) 653-2346Mon - Fri 8:00 to 5:00PCMH: No

Coates Gal, Chrystal MD Provider ID: 2167019Gender: FemaleFamily First Health Clinic Pa4612 Oleander Dr, Ste 102Myrtle Beach, SC 29577-5711(843) 945-8117Fax: (843) 945-8124Mon - Thu 8:30 to 4:00 Fri 8:30 to 1:00PCMH: No

Cress, Lyndsi DO Provider ID: 2132399Gender: FemaleSouthern Medical Associates3418 Casey StLoris, SC 29569-2904(843) 756-7885Fax: (843) 756-7855Mon - Thu 8:00 to 8:00 Fri 8:00 to 2:00PCMH: No

Eaton, Richard MD Provider ID: 1206719Gender: MaleDoctors Care Carolina Forest200 Middleburg DrMyrtle Beach, SC 29579-3408(843) 903-6650Fax: (843) 903-0758Mon - Fri 8:00 to 8:00 Sat 9:00 to 5:00 Sun 9:00 to 6:00PCMH: No

Epperson, William MD Provider ID: 1472133Gender: MaleRoper St. Francis Physician Partner912 Inlet Square Dr, Ste BMurrells Inlet, SC 29576-7812(843) 651-4111Fax: (843) 651-1047Mon - Fri 8:00 to 5:00PCMH: No


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Epperson, William MD Provider ID: 1766821Gender: MaleGeorgetown Physician Associates Ll11916 Highway 707, Ste DMurrells Inlt, SC 29576-9610(843) 652-8450Fax: (843) 652-8451Mon - Fri 8:30 to 5:00PCMH: No

Floyd, James MD Provider ID: 1311537Gender: MaleSc House Calls Inc1400 Main StConway, SC 29526(843) 488-0101Fax: (843) 331-3979Conway Medical CenterMon - Fri 8:30 to 5:00PCMH: No

Gammon, William MD Provider ID: 2137103Gender: MaleMcleod Family Medicine Carolina For101 Mcleod Health Blvd, Ste 201Myrtle Beach, SC 29579-4477(843) 646-8001Fax: (843) 646-8002Mon - Fri 8:00 to 5:00PCMH: No

Gelb, Ernest DO Provider ID: 1724170Gender: FemaleGeorgetown Physician Associates Ll4320 Holmestown RdMyrtle Beach, SC 29588-7837(843) 652-8440Fax: (843) 652-8441Mon - Fri 9:00 to 5:00PCMH: No

Gibbs, Sean MD Provider ID: 2022876Gender: MaleCoastal Carolina Primary Care LLC839 82nd ParkwayMyrtle Beach, SC 29572(843) 236-1950Fax: (843) 236-1952Mon - Fri 8:00 to 5:00PCMH: No

Gluzberg, Tatyana MD Provider ID: 1190796Roper St. Francis Physician Partner4959 Highway 17Murrells Inlet, SC 29576-5041(843) 357-1299Fax: (843) 357-2264Mon - Fri 9:00 to 5:00PCMH: No

Gluzberg, Tatyana MD Provider ID: 1190799Roper St. Francis After Hours Care-912 Inlet Square Dr, Ste AMurrells Inlet, SC 29576-7812(843) 357-1299Fax: (843) 651-1047Mon - Fri 9:00 to 5:00PCMH: No

Gluzberg, Tatyana MD Provider ID: 2022887Gender: FemaleCoastal Carolina Primary Care LLC4959 Hwy 17 Bypass SouthMurrells Inlet, SC 29576(843) 357-1299Fax: (843) 357-2264Mon - Fri 8:00 to 5:00PCMH: No

Grubb, Stephen MD Provider ID: 1733858Gender: MaleSc House Calls Inc3600 Sea Mountain Hwy, Suite CLittle River, SC 29566(843) 399-4848Fax: (843) 399-4409Mon - Fri 8:00 to 5:00PCMH: No

Gusic, Brittany MD Provider ID: 2348566Gender: FemaleCmc Primary Care Towne Center5010 Carolina Forest BlvdMyrtle Beach, SC 29579-3579(843) 236-2700Fax: (843) 236-2726Mon - Fri 8:00 to 5:00PCMH: No

Halyard, Jeanne MD Provider ID: 1057404Gender: FemaleHealth Care Partners Of South Carol1608 Main StConway, SC 29526-3572(843) 248-4700Fax: (843) 488-6345Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00PCMH: No

Harmon, Gerald MD Provider ID: 1484939Gender: MaleGeorgetown Physician Associates Ll11891 Plaza DrMurrells Inlet, SC 29576(843) 353-0288Fax: (843) 357-9770Mon - Fri 8:00 to 5:00PCMH: No

Harmon, Gerald MD Provider ID: 1484940Gender: MaleTidelands Health Family Medicine4320 Holmestown RdMyrtle Beach, SC 29588(843) 652-1293Fax: (843) 652-8132Mon - Fri 8:00 to 5:00PCMH: No


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Harrah, Jason MD Provider ID: 1033610Gender: MaleMcleod Family Medicine Carolina For101 Mcleod Health Blvd, Ste 201Myrtle Beach, SC 29579-4477(843) 646-8001Fax: (843) 646-8014Mon - Fri 8:00 to 5:00PCMH: No

Hernandez, Jose MD Provider ID: 1719943Gender: MaleHealth Care Partners Of South Carol1608 Main StConway, SC 29526-3572(843) 248-4700Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00PCMH: No

Hess, Lori MD Provider ID: 1555449Gender: FemaleGeorgetown Physician Associates LLC11916 Highway 707, Ste DMurrells Inlet, SC 29576-9610(843) 652-8450Fax: (843) 652-8451Mon - Fri 8:30 to 5:00PCMH: No

Holt, Raymond MD Provider ID: 768433Gender: MaleSeacoast Primary Care3980 Highway 9 E, Ste 100Little River, SC 29566-7873(843) 390-8320Fax: (843) 390-8329Mon - Fri 9:00 to 5:00PCMH: No

Insignares, Luis MD Provider ID: 471681Gender: MaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8100Mon, Wed 8:30 to 7:00 Tue, Thu - Fri 8:30 to 5:30PCMH: No

Insignares, Luis MD Provider ID: 767218Gender: MaleLittle River Medical Center3817 Main StLoris, SC 29569(843) 663-8000Fax: (843) 756-6826Mon - Fri 9:00 to 5:00PCMH: No

Insignares, Luis MD Provider ID: 902173Gender: MaleLittle River Medical Center Inc1075 Mr Joe White Ave, Unit 101Myrtle Beach, SC 29577-5658(843) 663-8000Mon - Fri 8:30 to 5:30PCMH: No

Insignares, Luis MD Provider ID: 972676Gender: MaleLittle River Medical Center Inc3236 Holmestown Rd, Ste E1Myrtle Beach, SC 29588-7495(843) 663-8000Fax: (843) 663-8130Mon - Fri 9:00 to 5:00PCMH: No

Jain, Vasudha MD Provider ID: 2268668Gender: FemaleTidelands Health Family Medicine4320 Holmestown RdMyrtle Beach, SC 29588-7837(843) 652-8440Fax: (843) 652-8441Mon - Fri 8:00 to 5:00PCMH: No

Joslin, Richard MD Provider ID: 1206775Gender: MaleDoctors Care Little River2246 Highway 17Little River, SC 29566-9235(843) 663-2220Fax: (843) 663-2221Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 5:00PCMH: No

Joyner-Powell, Nicole DO Provider ID: 2281525Gender: FemaleHealthcare Partners Of Sc243 Singleton Ridge RdConway, SC 29526-8391(843) 488-6030Fax: (877) 322-0181Mon - Fri 8:00 to 5:00PCMH: No

Joyner-Powell, Nicole DO Provider ID: 2281545Gender: FemaleHealthcare Partners Of Sc1608 Main StConway, SC 29526-3572(843) 488-6030Fax: (877) 322-0181Mon - Fri 8:00 to 5:00PCMH: No


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Joyner-Powell, Nicole DO Provider ID: 2281550Gender: FemaleHealthcare Partners Of Sc243 Singleton Ridge Rd, Units E FConway, SC 29526-8391(843) 488-6030Fax: (877) 322-0181Mon - Fri 8:00 to 5:00PCMH: No

Karl, John MD Provider ID: 2136527Gender: MaleMcleod Family Medicine Carolina For101 Mcleod Health Blvd, Ste 201Myrtle Beach, SC 29579-4477(843) 646-8001Fax: (843) 646-8002Mon - Fri 8:00 to 5:00PCMH: No

Lim, Bernice MD Provider ID: 1188746Gender: FemaleLittle River Medical Center Inc3236 Holmestown Rd, Ste E1Myrtle Beach, SC 29588-7495(843) 663-8000Fax: (843) 663-8092Mon - Fri 8:30 to 5:30PCMH: No

Lim, Bernice MD Provider ID: 1188747Gender: FemaleLittle River Medical Center Inc3817 Main StLoris, SC 29569-3017(843) 663-8000Fax: (843) 663-8100Mon - Fri 8:30 to 5:30PCMH: No

Lim, Bernice MD Provider ID: 1188749Gender: FemaleLittle River Medical Center Inc1075 Mr Joe White Ave, Ste 101Myrtle Beach, SC 29577-5658(843) 663-8000Fax: (843) 839-2052Mon - Fri 8:30 to 5:30PCMH: No

Lindaberry, Jeffrey DO Provider ID: 2197069Gender: MaleMcleod Dr. Lindaberry At Carolina F108 Finnegan CtMyrtle Beach, SC 29579-4205(843) 903-9993Fax: (843) 903-3356Mon - Tue, Thu - Fri 7:30 to 5:00 Wed 7:30 to 2:30PCMH: No

Locklear-Batton, Ashley DO Provider ID: 1236467Gender: FemaleMcleod Family Medicine Carolina For101 Mcleod Health Blvd, Ste 201Myrtle Beach, SC 29579(843) 646-8001Fax: (843) 646-8002Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00PCMH: No

Malone, Michael MD Provider ID: 1562686Gender: MaleGeorgetown Physician Associates LLC4320 Holmestown RdMyrtle Beach, SC 29588-7837(843) 652-8440Fax: (843) 652-8441Mon - Fri 9:00 to 5:00PCMH: No

Mcginley, Christine DO Provider ID: 768484Gender: FemaleLittle River Medical Centers Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8100Mon, Wed 8:30 to 7:00 Tue, Thu - Fri 8:30 to 5:30PCMH: No

Meixel, Steven MD Provider ID: 1484941Gender: MaleTidelands Health Family Medicine4320 Holmestown RdMyrtle Beach, SC 29588(843) 652-8440Fax: (843) 652-8441Mon - Thu 8:30 to 6:00 Fri 8:30 to 5:00PCMH: No

Mills, Timothy MD Provider ID: 769787Gender: MaleFamily Health Center Loris3418 Casey StLoris, SC 29569-2904(843) 756-7885Fax: (843) 756-7855Mon - Fri 8:00 to 5:00PCMH: No

Molter, Darron MD Provider ID: 1420288Gender: MaleMcleod Family Medicine Seacoast3980 Highway 9 E, Ste 100aLittle River, SC 29566-8163(843) 390-8320Fax: (843) 390-8329Mon - Fri 8:00 to 5:00PCMH: No


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Morando, Donald DO Provider ID: 2038872Gender: MaleCpg Family Medicine At Bell Street903 Bell StConway, SC 29526-4113(843) 488-2111Fax: (843) 488-2112Mon - Fri 8:00 to 5:00PCMH: No

Morando, Donald DO Provider ID: 2297814Gender: MaleCmc Primary Care Myrtle Trace8004 Myrtle Trace DriveConway, SC 29526-4113(843) 234-8939Fax: (843) 234-8959Mon - Fri 8:00 to 5:00PCMH: No

Murphy, David MD Provider ID: 2207379Gender: MaleCmc Primary Care Socastee6010 Highway 707, Ste 100Myrtle Beach, SC 29588(843) 293-1005Fax: (843) 293-1006Mon - Fri 8:00 to 5:00PCMH: No

Nguyen, Sean MD Provider ID: 2289038Gender: MaleGeorgetown Physician Associates LLC2200 Crow Ln, Ste 301Myrtle Beach, SC 29577-1663(843) 965-2822Fax: (843) 848-5305Mon - Fri 8:00 to 5:00PCMH: No

Nirenstein, Michael MD Provider ID: 1206832Gender: MaleDoctors Care N. Myrtle Beach1714 Highway 17 SNorth Myrtle Beach, SC 29582-4041(843) 361-0705Fax: (843) 361-4045Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 5:00PCMH: No

O'connor, William MD Provider ID: 767295Gender: MaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566(843) 663-8000Fax: (843) 249-5891Mon, Wed 8:30 to 7:00 Tue, Thu - Fri 8:30 to 5:30PCMH: No

O'connor, William MD Provider ID: 767296Gender: MaleLittle River Medical Center Inc7724 N Kings HwyMyrtle Beach, SC 29572(843) 663-8000Fax: (843) 839-3945Mon - Fri 9:00 to 5:00PCMH: No

O'connor, William MD Provider ID: 904668Gender: MaleLittle River Medical Center Inc1075 Mr Joe White Ave, Ste 101Myrtle Beach, SC 29577-5658(843) 663-8011Fax: (843) 663-1018Mon - Fri 1:00 to 6:00PCMH: No

O'connor, William MD Provider ID: 904669Gender: MaleLittle River Medical Center Inc3817 Main StLoris, SC 29569-3017(843) 663-8011Fax: (843) 663-1018Mon - Fri 8:30 to 5:30PCMH: No

Papotto, Joseph DO Provider ID: 926980Gender: MaleLife In A Blender LLC132 Pro Park Dr, Unit AConway, SC 29526-9288(843) 347-4900Fax: (843) 347-4901Mon - Tue, Thu 7:30 to 5:00 Wed 7:30 to 12:00 Fri 7:30 to 3:00PCMH: No

Pelstring, Mark MD Provider ID: 767692Gender: MaleSouthern Medical Associates3418 Casey StLoris, SC 29569-2904(843) 756-7885Fax: (843) 756-7855Mon - Fri 9:00 to 5:00PCMH: No

Prenatt, William MD Provider ID: 2318648Gender: MaleCmc Primary Care Towne Center5010 Carolina Forest BlvdMyrtle Beach, SC 29579(843) 236-2700Fax: (843) 236-2726Mon - Fri 8:00 to 5:00PCMH: No


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Ross, Scott MD Provider ID: 2206749Gender: MaleCmc Primary Care Towne Center5010 Carolina Forest BlvdMyrtle Beach, SC 29579-3579(843) 236-2700Fax: (844) 323-6272Mon - Thu 8:00 to 7:00 Fri 8:00 to 5:00PCMH: No

Rozario, Catherine MD Provider ID: 1273469Gender: FemaleJd Wellness And Urgent Care287 Highway 90 E, Unit 6Little River, SC 29566(843) 741-0212Fax: (843) 741-0213Mon - Fri 9:00 to 5:00PCMH: No

Rumley, Raleigh DO Provider ID: 1692260Gender: FemaleLittle River Medical Center Inc.3236 Holmestown Rd, Unit E1Myrtle Beach, SC 29588-7495(843) 663-8000Fax: (843) 663-8093Mon - Fri 8:00 to 5:30PCMH: No

Ryan, Patrick DO Provider ID: 1298159Gender: MaleSc House Calls Inc4600 Oleander Dr, Ste 2bMyrtle Beach, SC 29577(843) 448-2228Fax: (843) 448-2691Mon - Fri 8:30 to 5:00PCMH: No

Sanders, Melanie MD Provider ID: 1759135Gender: FemaleGeorgetown Physician Associates Ll4320 Holmestown RdMyrtle Beach, SC 29588-7837(843) 652-8440Fax: (843) 652-8441Mon - Wed, Fri 9:00 to 5:00 Thu 9:00 to 4:00PCMH: No

Schaefer, Catherine MD Provider ID: 2318654Gender: FemaleCmc Primary Care Socastee6010 Hwy 707, Ste 100Myrtle Beach, SC 29588(843) 293-1005Fax: (843) 293-1006Mon - Fri 8:00 to 5:00PCMH: No

Schimnowski, Amanda MD Provider ID: 2318656Gender: FemaleCmc Primary Care Socastee6010 Hwy 707, Ste 100Myrtle Beach, SC 29588(843) 293-1005Fax: (843) 293-1006Mon - Fri 8:00 to 5:00PCMH: No

Shadiack, Anthony DO Provider ID: 2249979Gender: MaleGrand Strand Primary Care Gme Famil839 82nd Parkway, Ste 185Myrtle Beach, SC 29572-4614(843) 848-4640Fax: (843) 839-2382Mon - Fri 8:00 to 5:00PCMH: No

Shadiack, Anthony DO Provider ID: 2250102Gender: MaleGrand Strand Primary Care Gme Inter920 Doug White Dr, Ste 250Myrtle Beach, SC 29572-4120(843) 236-1950Fax: (843) 236-1952Mon - Fri 8:00 to 5:00PCMH: No

Stanley, Christopher MD Provider ID: 1261415Gender: Male907 Startek DrMyrtle Beach, SC 29579-4471(843) 646-8001Fax: (843) 646-8002PCMH: No

Stanley, Christopher MD Provider ID: 1261415Gender: MaleMcleod Family Medicine Carolina For101 Mcleod Health Blvd, Ste 201Myrtle Beach, SC 29579-4477(843) 646-8001Fax: (843) 646-8002Mon - Fri 8:00 to 5:00PCMH: No

Vandergriff, Joseph MD Provider ID: 2016669Gender: MaleCarolina Forest Urgent Care LLC185 Fresh Dr, Ste AMyrtle Beach, SC 29579-4436(843) 945-3030Mon - Fri 8:00 to 8:00 Sat - Sun 8:00 to 6:00PCMH: No


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Vandergriff, Joseph MD Provider ID: 2016670Gender: MaleSurfside Beach Urgent Care LLC1945 Glenns Bay RdSurfside Beach, SC 29575-4833(843) 650-4006Fax: (843) 650-4225Mon - Fri 8:00 to 8:00 Sat - Sun 8:00 to 6:00PCMH: No

Vandergriff, Joseph MD Provider ID: 2267165Gender: MaleCarolina Forest Urgent Care LLC185 Fresh Dr, Ste AMyrtle Beach, SC 29579(843) 945-3030Fax: (843) 492-7749Mon - Fri 8:00 to 6:00PCMH: No

Vandergriff, Joseph MD Provider ID: 907382Gender: MaleSouth Strand Internists Pa1945 Glenns Bay RdSurfside Beach, SC 29575-4833(843) 650-4006Fax: (843) 650-1418Mon - Fri 7:30 to 5:00PCMH: No

Vinson, Tiffany MD Provider ID: 1780372Gender: FemaleDoctors Care Surfside1600 Highway 17 NSurfside Bch, SC 29575-6015(843) 238-1461Fax: (843) 828-0622Mon - Sun 8:00 to 8:00PCMH: No

Whitley, Allie DO Provider ID: 2304702Gender: FemaleMcleod Primary Care Seacoast3980 Highway 9 E, Ste 100Little River, SC 29566-8163(843) 390-8320Fax: (843) 390-8329Mon - Fri 8:00 to 5:00PCMH: No

Wilkoszewski, Artur MD Provider ID: 1206887Gender: MaleDoctors Care Conway 5011113 Church StConway, SC 29526-4128(843) 248-6269Fax: (843) 248-0535Mon - Sun 8:00 to 8:00PCMH: No

Williams, Tisha MD Provider ID: 1186610Gender: FemaleGeorgetown Physician Associates Ll4040 Highway 17, Ste 104Murrells Inlet, SC 29576-5098(843) 652-8150Fax: (843) 652-8151Mon - Fri 8:30 to 5:00PCMH: No

Wright, Lisa MD Provider ID: 2025917Gender: FemaleCoastal Carolina Primary Care LLC4959 Hwy 17 Bypass SouthMurrells Inlet, SC 29576(843) 357-1299Fax: (843) 357-2264Mon - Fri 8:00 to 5:00PCMH: No

Xiong, Chue MD Provider ID: 2318512Gender: MaleMcleod Primary Care Seacoast3980 Highway 9 E, Ste 100Little River, SC 29566-8163(843) 390-8320Fax: (843) 390-8329Mon - Fri 8:00 to 5:00PCMH: No


Al Aswad, Marwan MD Provider ID: 1788850Gender: MaleLittle River Medical Center Inc4220 Carolina Exchange DrMyrtle Beach, SC 29579-4220(843) 663-8013Fax: (843) 663-8113Mon - Fri 8:30 to 5:30PCMH: No

Bourguillon, Peggy MD Provider ID: 1582287Gender: FemaleLittle River Medical Center Inc.4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8100Mon - Fri 8:30 to 5:30PCMH: No

Careteam Plus Inc Provider ID: 2118031Careteam Plus100 Professional Park DrConway, SC 29526-9260(843) 234-8005Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00PCMH: No


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Federally Qualified Health Center -

cont.

Cohen, Paul MD Provider ID: 767353Gender: MaleLittle River Medical Centers4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8100Mon - Tue, Thu - Fri 8:30 to 5:30PCMH: No

Evans, Regina MD Provider ID: 1529832Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566(843) 663-8000Fax: (843) 663-8166Mon - Fri 8:30 to 5:30PCMH: No

Evans, Regina MD Provider ID: 1529834Gender: FemaleLittle River Medical Center Inc3236 Holmestown Rd, Unit E1Myrtle Beach, SC 29588(843) 663-8000Fax: (843) 663-8166Mon - Fri 8:30 to 5:30PCMH: No

Evans, Regina MD Provider ID: 1529838Gender: FemaleLittle River Medical Center Inc7724 N Kings HwyMyrtle Beach, SC 29572(843) 663-8000Fax: (843) 663-8166Mon - Fri 8:30 to 5:30PCMH: No

Evans, Regina MD Provider ID: 1529841Gender: FemaleLittle River Medical Center Inc1075 Mr Joe White Ave, Unit 101Myrtle Beach, SC 29577(843) 663-8000Fax: (843) 663-8166Mon - Fri 8:30 to 5:30PCMH: No

Evans, Regina MD Provider ID: 1529842Gender: FemaleLittle River Medical Center Inc4220 Carolina Exchange DrMyrtle Beach, SC 29579(843) 663-8000Fax: (843) 663-8166Mon - Fri 8:30 to 5:30PCMH: No

Evans, Regina MD Provider ID: 1529844Gender: FemaleLittle River Medical Center Inc3817 Main StMyrtle Beach, SC 29569(843) 663-8000Fax: (843) 663-8166Mon - Fri 8:30 to 5:30PCMH: No

Guilkey, Hayley MD Provider ID: 1854330Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30PCMH: No

Guzman, Eunice MD Provider ID: 1551224Gender: FemaleLittle River Medical Center Inc.4220 Carolina Exchange DrMyrtle Beach, SC 29579-4220(843) 663-8371Fax: (843) 663-8329Mon - Fri 8:30 to 5:30PCMH: No

Guzman, Eunice MD Provider ID: 1551228Gender: FemaleLittle River Medical Center Inc.3236 Holmestown Rd, Unit E1Myrtle Beach, SC 29588-7495(843) 663-8000Fax: (843) 663-8092Mon - Fri 8:30 to 5:30PCMH: No

Guzman, Eunice MD Provider ID: 1551230Gender: FemaleLittle River Medical Center Inc.4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30PCMH: No

Guzman, Eunice MD Provider ID: 1551233Gender: FemaleLittle River Medical Center Inc.7724 N Kings HwyMyrtle Beach, SC 29572-3041(843) 663-8000Fax: (843) 663-8256Mon - Fri 8:30 to 5:30PCMH: No


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cont.

Guzman, Eunice MD Provider ID: 1551235Gender: FemaleLittle River Medical Center Inc.1075 Mr Joe White Ave Unit 101Myrtle Beach, SC 29577-5658(843) 663-8000Fax: (843) 839-2052Mon - Fri 8:30 to 5:30PCMH: No

Guzman, Eunice MD Provider ID: 1551237Gender: FemaleLittle River Medical Center Inc.3817 Main StLoris, SC 29569-3017(843) 756-6809Fax: (843) 756-6828Mon - Fri 8:30 to 5:30PCMH: No

Hajar, Lina MD Provider ID: 1032481Gender: FemaleHealth Care Partners Of Sc1608 Main StConway, SC 29526-3572(843) 248-4700Fax: (843) 488-6345Mon - Thu 8:00 to 5:00 Fri 9:00 to 5:00 Sat 8:00 to 12:00PCMH: No

Halyard, Jeanne MD Provider ID: 1057404Gender: FemaleHealth Care Partners Of South Carol1608 Main StConway, SC 29526-3572(843) 248-4700Fax: (843) 488-6345Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00PCMH: No

Hernandez, Jose MD Provider ID: 1719943Gender: MaleHealth Care Partners Of South Carol1608 Main StConway, SC 29526-3572(843) 248-4700Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00PCMH: No

Insignares, Luis MD Provider ID: 471681Gender: MaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8100Mon, Wed 8:30 to 7:00 Tue, Thu - Fri 8:30 to 5:30PCMH: No

Insignares, Luis MD Provider ID: 767218Gender: MaleLittle River Medical Center3817 Main StLoris, SC 29569(843) 663-8000Fax: (843) 756-6826Mon - Fri 9:00 to 5:00PCMH: No

Insignares, Luis MD Provider ID: 902173Gender: MaleLittle River Medical Center Inc1075 Mr Joe White Ave, Unit 101Myrtle Beach, SC 29577-5658(843) 663-8000Mon - Fri 8:30 to 5:30PCMH: No

Insignares, Luis MD Provider ID: 972676Gender: MaleLittle River Medical Center Inc3236 Holmestown Rd, Ste E1Myrtle Beach, SC 29588-7495(843) 663-8000Fax: (843) 663-8130Mon - Fri 9:00 to 5:00PCMH: No

Kass, Danny MD Provider ID: 1470893Gender: MaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566(843) 663-8000Fax: (843) 663-8166Mon - Fri 8:30 to 5:30PCMH: No

Lim, Bernice MD Provider ID: 1188746Gender: FemaleLittle River Medical Center Inc3236 Holmestown Rd, Ste E1Myrtle Beach, SC 29588-7495(843) 663-8000Fax: (843) 663-8092Mon - Fri 8:30 to 5:30PCMH: No

Lim, Bernice MD Provider ID: 1188747Gender: FemaleLittle River Medical Center Inc3817 Main StLoris, SC 29569-3017(843) 663-8000Fax: (843) 663-8100Mon - Fri 8:30 to 5:30PCMH: No


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cont.

Lim, Bernice MD Provider ID: 1188749Gender: FemaleLittle River Medical Center Inc1075 Mr Joe White Ave, Ste 101Myrtle Beach, SC 29577-5658(843) 663-8000Fax: (843) 839-2052Mon - Fri 8:30 to 5:30PCMH: No

Little River Medical Center Provider ID: 2197457Little River Medical Center Inc4200 Carolina Exchange DrMyrtle Beach, SC 29579-4220(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:00 to 7:00PCMH: No

Little River Medical Center Provider ID: 2197490Little River Medical Center Inc1005 Osceola StMyrtle Beach, SC 29577-8008(843) 663-8000Fax: (843) 663-8123Mon 13:00 to 17:30 Thu 8:30 to 12:00PCMH: No

Mcginley, Christine DO Provider ID: 768484Gender: FemaleLittle River Medical Centers Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8100Mon, Wed 8:30 to 7:00 Tue, Thu - Fri 8:30 to 5:30PCMH: No

Nabong-Nillas, Maristela MD

Provider ID: 1584160Gender: FemaleLittle River Medical Center Inc4220 Carolina Exchange DrMyrtle Beach, SC 29579-4220(843) 663-8000Fax: (843) 663-8123Mon - Tue, Thu - Fri 8:30 to 5:30 Wed 8:30 to 3:00PCMH: No

Nabong-Nillas, Maristela MD Provider ID: 768697Gender: FemaleLittle River Medical Centers4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8100Mon - Fri 8:30 to 5:30PCMH: No

Nabong-Nillas, Maristela MD Provider ID: 768698Gender: FemaleLittle River Medical Centers7724 N Kings HwyMyrtle Beach, SC 29572(843) 663-8000Fax: (843) 280-6664Mon - Fri 8:30 to 5:30PCMH: No

Nabong-Nillas, Maristela MD Provider ID: 830465Gender: FemaleLittle River Med Ctr3817 Main StLoris, SC 29569(843) 663-8011Fax: (843) 663-1018Mon - Fri 8:30 to 5:30PCMH: No

Nillas, Romeo MD Provider ID: 1187031Gender: MaleLittle River Medical Center Inc3817 Main StLoris, SC 29569(843) 663-8000Fax: (843) 756-6828Mon - Fri 8:30 to 5:30PCMH: No

Nillas, Romeo MD Provider ID: 1187032Gender: MaleLittle River Medical Center Inc3236 Holmestown Rd, Ste E1Myrtle Beach, SC 29588(843) 663-8000Fax: (843) 663-8092Mon - Fri 8:30 to 5:30PCMH: No

O'connor, William MD Provider ID: 767295Gender: MaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566(843) 663-8000Fax: (843) 249-5891Mon, Wed 8:30 to 7:00 Tue, Thu - Fri 8:30 to 5:30PCMH: No

O'connor, William MD Provider ID: 767296Gender: MaleLittle River Medical Center Inc7724 N Kings HwyMyrtle Beach, SC 29572(843) 663-8000Fax: (843) 839-3945Mon - Fri 9:00 to 5:00PCMH: No


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cont.

O'connor, William MD Provider ID: 904668Gender: MaleLittle River Medical Center Inc1075 Mr Joe White Ave, Ste 101Myrtle Beach, SC 29577-5658(843) 663-8011Fax: (843) 663-1018Mon - Fri 1:00 to 6:00PCMH: No

O'connor, William MD Provider ID: 904669Gender: MaleLittle River Medical Center Inc3817 Main StLoris, SC 29569-3017(843) 663-8011Fax: (843) 663-1018Mon - Fri 8:30 to 5:30PCMH: No

Pashaj, Anteo DO Provider ID: 1638620Gender: MaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30PCMH: No

Prinzi, Sarah MD Provider ID: 1533055Gender: FemaleLittle River Medical Center Inc.4303 Live Oak DrLittle River, SC 29566(843) 663-8000Fax: (843) 663-8113Mon - Fri 8:30 to 5:30PCMH: No

Prinzi, Sarah MD Provider ID: 1533057Gender: FemaleLittle River Medical Center Inc.1075 Mr Joe White Ave, Unit 101Myrtle Beach, SC 29577(843) 663-8000Fax: (843) 663-8113Mon - Fri 8:30 to 5:30PCMH: No

Prinzi, Sarah MD Provider ID: 1533058Gender: FemaleLittle River Medical Center Inc.4220 Carolina Exchange DrMyrtle Beach, SC 29579(843) 663-8000Fax: (843) 663-8113Mon - Fri 8:30 to 5:30PCMH: No

Prinzi, Sarah MD Provider ID: 1533059Gender: FemaleLittle River Medical Center Inc.3817 Main StLoris, SC 29569(843) 663-8000Fax: (843) 663-8113Mon - Fri 8:30 to 5:30PCMH: No

Prinzi, Sarah MD Provider ID: 1533060Gender: FemaleLittle River Medical Center Inc.7724 N Kings HwyMyrtle Beach, SC 29572(843) 663-8000Fax: (843) 663-8113Mon - Fri 8:30 to 5:30PCMH: No

Reiser, Raymond MD Provider ID: 1010932Gender: MaleLittle River Medical Center Inc7724 N Kings HwyMyrtle Beach, SC 29572-3041(843) 663-8000Fax: (843) 756-6828Mon - Fri 8:30 to 5:30PCMH: No

Reiser, Raymond MD Provider ID: 1010943Gender: MaleLittle River Medical Center Inc1075 Mr Joe White Ave, Unit 101Myrtle Beach, SC 29577-5658(843) 663-8000Fax: (843) 839-2052Mon - Fri 8:30 to 5:30PCMH: No

Reiser, Raymond MD Provider ID: 1010946Gender: MaleLittle River Medical Center Inc3817 Main St, Ste 101Loris, SC 29569-3017(843) 663-8000Fax: (843) 663-8256Mon - Fri 8:30 to 5:30PCMH: No

Reiser, Raymond MD Provider ID: 1010949Gender: MaleLittle River Medical Center Inc3236 Holmestown Rd, Unit E1Myrtle Beach, SC 29588-7495(843) 663-8000Fax: (843) 663-8092Mon - Fri 8:30 to 5:30PCMH: No


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cont.

Reiser, Raymond MD Provider ID: 950006Gender: MaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8100Mon - Fri 8:30 to 5:30PCMH: No

Rumley, Raleigh DO Provider ID: 1692260Gender: FemaleLittle River Medical Center Inc.3236 Holmestown Rd, Unit E1Myrtle Beach, SC 29588-7495(843) 663-8000Fax: (843) 663-8093Mon - Fri 8:00 to 5:30PCMH: No

Tizora, Sibonokuhle MD Provider ID: 1467385Gender: FemaleHealth Care Partners Of South Carol1608 Main StConway, SC 29526(843) 248-4700Mon - Fri 8:00 to 5:00PCMH: No

Valdez, Orlando MD Provider ID: 1163910Gender: MaleLittle River Medical Center Inc3236 Holmestown Rd, Ste E1Myrtle Beach, SC 29588(843) 663-8000Fax: (843) 663-8092Mon - Fri 8:30 to 5:30PCMH: No

Valdez, Orlando MD Provider ID: 1163911Gender: MaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30PCMH: No

Valdez, Orlando MD Provider ID: 1163913Gender: MaleLittle River Medical Center Inc3817 Main StLoris, SC 29569(843) 663-8000Fax: (843) 756-6828Mon - Fri 8:30 to 5:30PCMH: No

General Practice

Mayeaux II, Eugene MD Provider ID: 1714276Gender: MaleGeorgetown Physician Associates Ll4320 Holmestown RdMyrtle Beach, SC 29588-7837(843) 652-8440Fax: (843) 652-8441Mon - Fri 9:00 to 5:00PCMH: No

Rives, Thomas MD Provider ID: 2318595Gender: MaleMcleod Primary Care Little River4237 River Hills Dr, Ste 170Little River, SC 29566-6446(843) 366-3030Fax: (843) 663-0537Mon - Fri 8:00 to 5:00PCMH: No

Turek, James MD Provider ID: 960855Gender: MaleTideland Health Family Medicine2347 S Highway 17Garden City, SC 29576(843) 357-2443Fax: (843) 357-2132Mon - Fri 8:00 to 6:00 Sat 9:00 to 1:00PCMH: No

Internal Medicine

Adamson, James MD Provider ID: 1653315Gender: MaleCareteam Plus Inc.100 Professional Park DrConway, SC 29526-9260(843) 234-0005Fax: (843) 234-8234Mon - Fri 8:00 to 12:00PCMH: No

Adler, Brian MD Provider ID: 2005666Gender: MaleLiberty Doctors LLC D/B/A South Str1945 Glenns Bay RdSurfside Bch, SC 29575-4833(843) 650-4006Fax: (843) 650-1418Mon - Fri 7:30 to 5:00PCMH: No

Adler, Brian MD Provider ID: 2267168Gender: MaleSouth Strand Internists Pa1945 Glenns Bay Rd, Ste ASurfside Beach, SC 29575(843) 650-4006Fax: (843) 650-1418Mon - Fri 7:30 to 5:00PCMH: No


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Horry


Adler, Brian MD Provider ID: 769251Gender: MaleSouth Strand Internists1945 Glenns Bay RdMyrtle Beach, SC 29575(843) 650-4006Fax: (843) 650-1418Mon - Fri 8:00 to 5:00PCMH: No

Allen, Sarah MD Provider ID: 1484942Gender: FemaleTidelands Health Family Medicine4320 Holmestown RdMyrtle Beach, SC 29588(843) 652-8440Fax: (843) 652-8132Mon - Thu 7:30 to 6:00 Fri 8:00 to 5:00PCMH: No

Atienza, Jonessa Ann MD Provider ID: 1433906Gender: FemaleMcleod Internal Medicine Seacoast3980 Highway 9 E, Ste 100bLittle River, SC 29566-8163(843) 390-5217Fax: (843) 390-5257Mon - Fri 8:00 to 5:00PCMH: No

Barrett, Gary MD Provider ID: 768538Gender: MaleBarrett Internal Medicine3109 Casey St, Ste BLoris, SC 29569-2807(843) 756-9292Fax: (843) 756-9260Mon - Fri 9:00 to 5:00PCMH: No

Benson, Paul MD Provider ID: 1555607Gender: MaleGeorgetown Physician Associates Ll4040 Hwy 17 Bypass, Ste 302Murrells Inlet, SC 29576(843) 652-8290Fax: (843) 652-8299Mon - Fri 8:30 to 5:00PCMH: No

Brazee, Jacob DO Provider ID: 1539264Gender: MaleGeorgetown Physician Associates Ll4301 Dick Pond RdMyrtle Beach, SC 29588-6807(843) 652-8100Fax: (843) 652-8122Mon - Thu 7:30 to 6:00 Fri 8:00 to 5:00PCMH: No

Cohen, Paul MD Provider ID: 767353Gender: MaleLittle River Medical Centers4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8100Mon - Tue, Thu - Fri 8:30 to 5:30PCMH: No

Collier, Victor MD Provider ID: 1254813Gender: MaleCoastal Carolina Primary Care LLC839 82nd PkwyMyrtle Beach, SC 29572(843) 236-1950Fax: (843) 236-1952Mon - Thu 8:30 to 5:00 Fri 8:30 to 4:00PCMH: No

Comianos, Marc DO Provider ID: 1639571Gender: MaleSouthern Medical Associates3418 Casey StLoris, SC 29569-2904(843) 756-7885Fax: (843) 756-7855Mon - Fri 8:00 to 5:00PCMH: No

Courtney, Donald MD Provider ID: 2222503Gender: MaleCoastal Carolina Primary Care LLC920 Doug White Dr, Ste 250Myrtle Beach, SC 29572-4181(843) 236-1950Fax: (843) 236-1952Mon - Fri 8:00 to 5:00PCMH: No

Gal, Almog MD Provider ID: 2166977Gender: MaleFamily First Health Clinic Pa4612 Oleander Dr, Ste 102Myrtle Beach, SC 29577-5711(843) 945-8117Fax: (843) 945-8124Mon - Thu 8:30 to 4:00 Fri 8:00 to 1:00PCMH: No

Gobin, Mark DO Provider ID: 2022889Gender: MaleCoastal Carolina Primary Care LLC8170 Rourk St, Ste 100Myrtle Beach, SC 29572-4127(843) 236-1950Fax: (843) 236-1952Mon - Fri 8:00 to 5:00PCMH: No


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Horry


Griesmer, Brendan MD Provider ID: 1784084Gender: MaleMcleod Family Medicine Carolina For101 Mcleod Health Blvd, Ste 201Myrtle Beach, SC 29579-4477(843) 646-8001Fax: (843) 646-8002Mon - Fri 8:00 to 5:00PCMH: No

Guzman, Eunice MD Provider ID: 1551224Gender: FemaleLittle River Medical Center Inc.4220 Carolina Exchange DrMyrtle Beach, SC 29579-4220(843) 663-8371Fax: (843) 663-8329Mon - Fri 8:30 to 5:30PCMH: No

Guzman, Eunice MD Provider ID: 1551228Gender: FemaleLittle River Medical Center Inc.3236 Holmestown Rd, Unit E1Myrtle Beach, SC 29588-7495(843) 663-8000Fax: (843) 663-8092Mon - Fri 8:30 to 5:30PCMH: No

Guzman, Eunice MD Provider ID: 1551230Gender: FemaleLittle River Medical Center Inc.4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30PCMH: No

Guzman, Eunice MD Provider ID: 1551233Gender: FemaleLittle River Medical Center Inc.7724 N Kings HwyMyrtle Beach, SC 29572-3041(843) 663-8000Fax: (843) 663-8256Mon - Fri 8:30 to 5:30PCMH: No

Guzman, Eunice MD Provider ID: 1551235Gender: FemaleLittle River Medical Center Inc.1075 Mr Joe White Ave Unit 101Myrtle Beach, SC 29577-5658(843) 663-8000Fax: (843) 839-2052Mon - Fri 8:30 to 5:30PCMH: No

Guzman, Eunice MD Provider ID: 1551237Gender: FemaleLittle River Medical Center Inc.3817 Main StLoris, SC 29569-3017(843) 756-6809Fax: (843) 756-6828Mon - Fri 8:30 to 5:30PCMH: No

Johnson, David MD Provider ID: 1561550Gender: MaleMcleod ENT Seacoast3980 Highway 9 E, Ste 100bLittle River, SC 29566-8165(843) 390-5217Fax: (843) 390-8329Mon - Fri 9:00 to 5:00PCMH: No

Kass, Danny MD Provider ID: 1470893Gender: MaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566(843) 663-8000Fax: (843) 663-8166Mon - Fri 8:30 to 5:30PCMH: No

Mangano, Andrew DO Provider ID: 1420820Gender: MaleGrand Strand Primary Care Gme - Int8170 Rourk St, Ste 100Myrtle Beach, SC 29572-4127(843) 236-1950Fax: (843) 236-1952Mon - Fri 8:30 to 5:00PCMH: No

Morjain, Jessica DO Provider ID: 1600871Gender: FemaleGeorgetown Physician Associates LLC2347 S Highway 17Murrells Inlet, SC 29576-7611(843) 357-2443Fax: (843) 357-2132Mon - Fri 8:00 to 5:30PCMH: No

Nambudiri, Vinod MD Provider ID: 1431349Gender: MaleCoastal Carolina Primary Care LLC8170 Rourk St, Ste 100Myrtle Beach, SC 29572(843) 497-7772Fax: (843) 236-7952Mon - Thu 8:30 to 4:30 Fri 8:30 to 4:00PCMH: No


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Horry


Nillas, Romeo MD Provider ID: 1187031Gender: MaleLittle River Medical Center Inc3817 Main StLoris, SC 29569(843) 663-8000Fax: (843) 756-6828Mon - Fri 8:30 to 5:30PCMH: No

Nillas, Romeo MD Provider ID: 1187032Gender: MaleLittle River Medical Center Inc3236 Holmestown Rd, Ste E1Myrtle Beach, SC 29588(843) 663-8000Fax: (843) 663-8092Mon - Fri 8:30 to 5:30PCMH: No

Pandoo, Justin MD Provider ID: 1731255Gender: MaleCpg Carolina Internal Medicine2367b Cypress CirConway, SC 29526-8921(843) 349-1001Fax: (843) 349-1008Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00PCMH: No

Pashaj, Anteo DO Provider ID: 1638620Gender: MaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30PCMH: No

Remines, Michael DO Provider ID: 2339744Gender: MaleCmc Primary Care Postal Way4022 Postal WayMyrtle Beach, SC 29579-3537(843) 236-0000Fax: (843) 236-6191Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00PCMH: No

Sansbury, Jilian MD Provider ID: 2249946Gender: FemaleGrand Strand Primary Care Im920 Doug White Dr, Ste 250Myrtle Beach, SC 29572-4181(843) 236-1950Fax: (843) 236-1952Mon - Fri 8:00 to 5:00PCMH: No

Silbiger, Stephen MD Provider ID: 1991543Gender: MaleGrand Strand Surgical Specialists L809 82nd PkwyMyrtle Beach, SC 29572-4607(843) 497-6348Fax: (843) 497-6351Mon - Fri 8:00 to 5:00PCMH: No

Sperling, Michael MD Provider ID: 2251617Gender: MaleMcleod Internal Medicine Seacoast3980 Highway 9 E, Ste 100bLittle River, SC 29566-8163(843) 390-5217Fax: (843) 390-5257Mon - Fri 8:00 to 5:00PCMH: No

Trinh, Vinh DO Provider ID: 1566276Gender: MaleGrand Strand Primary Care Gme - Int8170 Rourk St, Ste 100Myrtle Beach, SC 29572-4127(843) 497-6348Fax: (843) 497-6351Mon - Fri 8:30 to 5:00PCMH: No

Varney, Michael MD Provider ID: 1206881Gender: MaleDoctors Care Little River2246 Highway 17Little River, SC 29566-9235(843) 663-2220Fax: (843) 663-2221Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 5:00PCMH: No

Nurse Practitioner

Anderson, Alicia NP Provider ID: 2267166Gender: FemaleCarolina Forest Urgent Care LLC185 Fresh Dr, Ste AMyrtle Beach, SC 29579(843) 945-3030Fax: (843) 492-7749Mon - Fri 8:00 to 6:00PCMH: No

Dorr, Rachel NP Provider ID: 2267164Gender: FemaleCarolina Forest Urgent Care LLC185 Fresh Dr, Ste AMyrtle Beach, SC 29579(843) 945-3030Fax: (843) 492-7749Mon - Fri 8:00 to 6:00PCMH: No


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Horry

Nurse Practitioner - cont.

Smith, Tara NP Provider ID: 2267167Gender: FemaleSouth Strand Internists Pa1945 Glenns Bay Rd, Ste BSurfside Beach, SC 29575(843) 650-4006Fax: (843) 650-4225Mon - Fri 7:30 to 5:00PCMH: No


Collins, Nancy MD Provider ID: 910050Gender: FemaleCmc Women's Health Conway2376 Cypress Cir, Ste 200Conway, SC 29526-8945(843) 347-7216Fax: (843) 347-7218PCMH: No

Collins, Nancy MD Provider ID: 910050Gender: FemaleCpg Womens Medicla Center8004 Myrtle Trace DrConway, SC 29526-8945(843) 347-7216Fax: (843) 347-7218Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:30PCMH: No

Collins, Nancy MD Provider ID: 910050Gender: Female8016 Myrtle Trace DrConway, SC 29526-8945(843) 347-7266Fax: (843) 347-2130PCMH: No

Evans, Regina MD Provider ID: 1529832Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566(843) 663-8000Fax: (843) 663-8166Mon - Fri 8:30 to 5:30PCMH: No

Evans, Regina MD Provider ID: 1529834Gender: FemaleLittle River Medical Center Inc3236 Holmestown Rd, Unit E1Myrtle Beach, SC 29588(843) 663-8000Fax: (843) 663-8166Mon - Fri 8:30 to 5:30PCMH: No

Evans, Regina MD Provider ID: 1529838Gender: FemaleLittle River Medical Center Inc7724 N Kings HwyMyrtle Beach, SC 29572(843) 663-8000Fax: (843) 663-8166Mon - Fri 8:30 to 5:30PCMH: No

Evans, Regina MD Provider ID: 1529841Gender: FemaleLittle River Medical Center Inc1075 Mr Joe White Ave, Unit 101Myrtle Beach, SC 29577(843) 663-8000Fax: (843) 663-8166Mon - Fri 8:30 to 5:30PCMH: No

Evans, Regina MD Provider ID: 1529842Gender: FemaleLittle River Medical Center Inc4220 Carolina Exchange DrMyrtle Beach, SC 29579(843) 663-8000Fax: (843) 663-8166Mon - Fri 8:30 to 5:30PCMH: No

Evans, Regina MD Provider ID: 1529844Gender: FemaleLittle River Medical Center Inc3817 Main StMyrtle Beach, SC 29569(843) 663-8000Fax: (843) 663-8166Mon - Fri 8:30 to 5:30PCMH: No

Levenson, Terry MD Provider ID: 911709Gender: MaleCmc Women's Health Conway2376 Cypress Cir, Ste 200Conway, SC 29526-8945(843) 347-7216Fax: (843) 347-7218PCMH: No

Levenson, Terry MD Provider ID: 911709Gender: MaleCpg Womens Medical Center8004 Myrtle Trace DrConway, SC 29526-8945(843) 347-7216Fax: (843) 347-7218Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:30PCMH: No

Levenson, Terry MD Provider ID: 911709Gender: Male300 Singleton Ridge RdConway, SC 29526-9142(843) 347-7111PCMH: No


37719585



Horry

Obstetrics/Gynecology - cont.

Lineback, Bradley MD Provider ID: 979867Gender: MaleCmc Women's Health Conway2376 Cypress Cir, Ste 200Conway, SC 29526-8945(843) 347-7216Fax: (843) 347-7218PCMH: No

Lineback, Bradley MD Provider ID: 979867Gender: MaleCpg Conway Ob Gyn8016 Myrtle Trace DrConway, SC 29526-8945(843) 347-7266Fax: (843) 347-2130Mon - Wed 8:30 to 5:00 Thu - Fri 8:30 to 12:30PCMH: No

Lukowski, Jessica MD Provider ID: 900408Gender: FemaleCmc Women's Health Conway2376 Cypress Cir, Ste 200Conway, SC 29526-8945(843) 347-7216Fax: (843) 347-7218PCMH: No

Lukowski, Jessica MD Provider ID: 900408Gender: FemaleCpg Womens Medical Center8004 Myrtle Trace DrConway, SC 29526-8945(843) 347-7216Fax: (843) 347-7218Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:30PCMH: No

Thompson, Kenneth DO Provider ID: 812576Gender: MaleCmc Women's Health Towne Center5010 Carolina Forest BlvdMyrtle Beach, SC 29579(843) 903-1010Fax: (843) 903-1015Conway Medical CenterMon - Thu 9:00 to 5:00 Fri 9:00 to 1:00PCMH: No

Pediatrics

Al Aswad, Marwan MD Provider ID: 1788850Gender: MaleLittle River Medical Center Inc4220 Carolina Exchange DrMyrtle Beach, SC 29579-4220(843) 663-8013Fax: (843) 663-8113Mon - Fri 8:30 to 5:30PCMH: No

Caudle, Tory MD Provider ID: 1173938Gender: FemaleSeashore Pediatrics2828 Bayboro StLoris, SC 29569(843) 716-2229Fax: (843) 716-2483Mon - Fri 8:00 to 5:00PCMH: No

Corontzes, Stephen MD Provider ID: 767908Gender: MaleMagnolia Pediatrics600 Singleton Ridge RdConway, SC 29526(843) 347-9099Fax: (888) 972-4460Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00PCMH: No

Daniels, Frederick MD Provider ID: 1188739Gender: MaleSeashore Pediatrics2828 Bayboro StLoris, SC 29569(843) 716-2229Fax: (843) 390-2483Mon - Fri 8:00 to 5:00PCMH: No

Daniels, Frederick MD Provider ID: 1188741Gender: MaleSeashore Pediatrics170 Surfrider BlvdLongs, SC 29568(843) 390-2229Fax: (843) 390-2483Mon - Fri 8:00 to 5:00PCMH: No

Eglen, Rebecca MD Provider ID: 1994994Gender: FemaleCmc Pediatrics Socastee6010 Highway 707, Ste 100Myrtle Beach, SC 29588-7321(843) 293-1005Fax: (843) 293-1006Conway Medical CenterMon - Thu 8:00 to 7:00 Fri 8:30 to 7:00 Sat 8:00 to 12:00PCMH: No

Guilkey, Hayley MD Provider ID: 1854330Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30PCMH: No


37719585



Horry

Pediatrics - cont.

Hajar, Lina MD Provider ID: 1032481Gender: FemaleHealth Care Partners Of Sc1608 Main StConway, SC 29526-3572(843) 248-4700Fax: (843) 488-6345Mon - Thu 8:00 to 5:00 Fri 9:00 to 5:00 Sat 8:00 to 12:00PCMH: No

Ludlow, Donald MD Provider ID: 417936Gender: Male3655 Mitchell StLoris, SC 29569-2827(843) 716-7000PCMH: No

Ludlow, Donald MD Provider ID: 768111Gender: MaleSeashore Pediatrics170 Surfrider Blvd, Suite A BLongs, SC 29568-9252(843) 390-2229Fax: (843) 716-2483Mon - Fri 8:00 to 5:00PCMH: No

Nabong-Nillas, Maristela MD

Provider ID: 1584160Gender: FemaleLittle River Medical Center Inc4220 Carolina Exchange DrMyrtle Beach, SC 29579-4220(843) 663-8000Fax: (843) 663-8123Mon - Tue, Thu - Fri 8:30 to 5:30 Wed 8:30 to 3:00PCMH: No

Nabong-Nillas, Maristela MD Provider ID: 768697Gender: FemaleLittle River Medical Centers4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8100Mon - Fri 8:30 to 5:30PCMH: No

Nabong-Nillas, Maristela MD Provider ID: 768698Gender: FemaleLittle River Medical Centers7724 N Kings HwyMyrtle Beach, SC 29572(843) 663-8000Fax: (843) 280-6664Mon - Fri 8:30 to 5:30PCMH: No

Nabong-Nillas, Maristela MD Provider ID: 830465Gender: FemaleLittle River Med Ctr3817 Main StLoris, SC 29569(843) 663-8011Fax: (843) 663-1018Mon - Fri 8:30 to 5:30PCMH: No

Nichols, William MD Provider ID: 2318642Gender: MaleCmc Pediatrics Conway2376 Cypress Cir, Ste 103Conway, SC 29526(843) 234-8788Fax: (843) 234-8787Mon - Fri 8:00 to 5:00PCMH: No

Nichols, William MD Provider ID: 914077Gender: MaleCpg Pediatrics Carolina Forest4022 Postal Way, Ste CMyrtle Beach, SC 29579-3537(843) 903-4111Fax: (843) 903-4242Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:00PCMH: No

Prinzi, Sarah MD Provider ID: 1533055Gender: FemaleLittle River Medical Center Inc.4303 Live Oak DrLittle River, SC 29566(843) 663-8000Fax: (843) 663-8113Mon - Fri 8:30 to 5:30PCMH: No

Prinzi, Sarah MD Provider ID: 1533057Gender: FemaleLittle River Medical Center Inc.1075 Mr Joe White Ave, Unit 101Myrtle Beach, SC 29577(843) 663-8000Fax: (843) 663-8113Mon - Fri 8:30 to 5:30PCMH: No

Prinzi, Sarah MD Provider ID: 1533058Gender: FemaleLittle River Medical Center Inc.4220 Carolina Exchange DrMyrtle Beach, SC 29579(843) 663-8000Fax: (843) 663-8113Mon - Fri 8:30 to 5:30PCMH: No


37719585



Horry

Pediatrics - cont.

Prinzi, Sarah MD Provider ID: 1533059Gender: FemaleLittle River Medical Center Inc.3817 Main StLoris, SC 29569(843) 663-8000Fax: (843) 663-8113Mon - Fri 8:30 to 5:30PCMH: No

Prinzi, Sarah MD Provider ID: 1533060Gender: FemaleLittle River Medical Center Inc.7724 N Kings HwyMyrtle Beach, SC 29572(843) 663-8000Fax: (843) 663-8113Mon - Fri 8:30 to 5:30PCMH: No

Rabon, Brian MD Provider ID: 1156517Gender: MalePalmetto Pediatrics Of Conway Inc140 Professional Park DrConway, SC 29526(843) 234-5678Fax: (843) 234-4567Mon - Fri 8:00 to 5:00PCMH: No

Reiser, Raymond MD Provider ID: 1010932Gender: MaleLittle River Medical Center Inc7724 N Kings HwyMyrtle Beach, SC 29572-3041(843) 663-8000Fax: (843) 756-6828Mon - Fri 8:30 to 5:30PCMH: No

Reiser, Raymond MD Provider ID: 1010943Gender: MaleLittle River Medical Center Inc1075 Mr Joe White Ave, Unit 101Myrtle Beach, SC 29577-5658(843) 663-8000Fax: (843) 839-2052Mon - Fri 8:30 to 5:30PCMH: No

Reiser, Raymond MD Provider ID: 1010946Gender: MaleLittle River Medical Center Inc3817 Main St, Ste 101Loris, SC 29569-3017(843) 663-8000Fax: (843) 663-8256Mon - Fri 8:30 to 5:30PCMH: No

Reiser, Raymond MD Provider ID: 1010949Gender: MaleLittle River Medical Center Inc3236 Holmestown Rd, Unit E1Myrtle Beach, SC 29588-7495(843) 663-8000Fax: (843) 663-8092Mon - Fri 8:30 to 5:30PCMH: No

Reiser, Raymond MD Provider ID: 950006Gender: MaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8100Mon - Fri 8:30 to 5:30PCMH: No

Tizora, Sibonokuhle MD Provider ID: 1467385Gender: FemaleHealth Care Partners Of South Carol1608 Main StConway, SC 29526(843) 248-4700Mon - Fri 8:00 to 5:00PCMH: No

Valdez, Orlando MD Provider ID: 1163910Gender: MaleLittle River Medical Center Inc3236 Holmestown Rd, Ste E1Myrtle Beach, SC 29588(843) 663-8000Fax: (843) 663-8092Mon - Fri 8:30 to 5:30PCMH: No

Valdez, Orlando MD Provider ID: 1163911Gender: MaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30PCMH: No

Valdez, Orlando MD Provider ID: 1163913Gender: MaleLittle River Medical Center Inc3817 Main StLoris, SC 29569(843) 663-8000Fax: (843) 756-6828Mon - Fri 8:30 to 5:30PCMH: No


37719585



Horry

Pediatrics - cont.

Walker, Juliette MD Provider ID: 1959564Gender: FemaleCpg Pediatrics At Carolina Forest4022 Postal Way, Ste CMyrtle Beach, SC 29579-3537(843) 903-4111Fax: (843) 903-4242Mon - Fri 8:00 to 5:00PCMH: No

Walker, Juliette MD Provider ID: 2318659Gender: FemaleCmc Prediatrics Conway2376 Cypress Cir, Ste 103Conway, SC 29588(843) 234-8788Fax: (843) 234-8787Mon - Fri 8:00 to 5:00PCMH: No


37719585



Marion

Family Practice

Campbell, Treadwell MD Provider ID: 981400Gender: MaleCampbell Family Practice Pa2835 E Highway 76, Ste 6Mullins, SC 29574-6038(843) 431-9882Fax: (843) 431-9879Mon - Fri 8:30 to 5:00PCMH: No

Garner, James MD Provider ID: 767439Gender: MaleMcleod Family Medicine Of Marion3032 E Highway 76Mullins, SC 29574(843) 464-7111Fax: (843) 292-7324Mon - Fri 9:00 to 5:00PCMH: No

Joynerpowell, Nicole DO Provider ID: 2254818Gender: FemaleHealthcare Partners Of Sc145 Palmetto Pointe RdMarion, SC 29571-6721(843) 488-6030Fax: (877) 322-0181Mon - Fri 8:00 to 5:00PCMH: No

Musc Childrens Pediatrics Marion

Medical Provider ID: 1850063Musc Childrens Pediatrics Marion Me2845 E Highway 76, Ste 4Mullins, SC 29574-6037(843) 431-2720Fax: (843) 431-2726Mon - Fri 8:00 to 5:00PCMH: No

Musc Childrens Pee Dee Pediat-

rics Marion Provider ID: 1850017Musc Childrens Pee Dee Pediatrics2845 E Highway 76, Ste 5Mullins, SC 29574-6037(843) 431-2720Fax: (843) 431-2647Mon - Fri 8:00 to 5:00PCMH: No

Musc Health Primary Care Marion

Provider ID: 18500031205 N Main StMarion, SC 29571-2008(843) 423-0760Fax: (843) 423-8138Mon - Fri 8:00 to 5:00PCMH: No

Musc Health Primary Care Mullins

Provider ID: 1849974511 S Main StMullins, SC 29574-3509(843) 464-8244Fax: (843) 464-6519Mon - Fri 8:00 to 5:00PCMH: No

Odom, John MD Provider ID: 766825Gender: MaleMcleod Family Medicine Of Marion3032 E Highway 76Mullins, SC 29574(843) 777-7780Fax: (843) 292-7324Mon - Fri 9:00 to 5:00PCMH: No


Tizora, Sibonokuhle MD Provider ID: 1467384Gender: FemaleHealth Care Partners Of South Carol145 Palmetto Pointe RdMarion, SC 29571(843) 248-4700Mon - Fri 8:00 to 5:00PCMH: No

Pediatrics

Tizora, Sibonokuhle MD Provider ID: 1467384Gender: FemaleHealth Care Partners Of South Carol145 Palmetto Pointe RdMarion, SC 29571(843) 248-4700Mon - Fri 8:00 to 5:00PCMH: No

Rural Health Center

Musc Childrens Pediatrics Marion

Medical Provider ID: 1850063Musc Childrens Pediatrics Marion Me2845 E Highway 76, Ste 4Mullins, SC 29574-6037(843) 431-2720Fax: (843) 431-2726Mon - Fri 8:00 to 5:00PCMH: No

Musc Childrens Pee Dee Pediat-

rics Marion Provider ID: 1850017Musc Childrens Pee Dee Pediatrics2845 E Highway 76, Ste 5Mullins, SC 29574-6037(843) 431-2720Fax: (843) 431-2647Mon - Fri 8:00 to 5:00PCMH: No


37719585



Marion

Rural Health Center - cont.

Musc Health Primary Care Marion

Provider ID: 18500031205 N Main StMarion, SC 29571-2008(843) 423-0760Fax: (843) 423-8138Mon - Fri 8:00 to 5:00PCMH: No

Musc Health Primary Care Mullins

Provider ID: 1849974511 S Main StMullins, SC 29574-3509(843) 464-8244Fax: (843) 464-6519Mon - Fri 8:00 to 5:00PCMH: No


37719585



Marlboro

Family Practice

Duncan, Anna DO Provider ID: 1271010Gender: FemaleCaresouth Carolina IncSubspecialty: HRSA FQHC999 Cheraw StBennettsville, SC 29512(843) 479-2341Fax: (843) 479-2346Mon - Fri 8:00 to 5:00PCMH: No

Ebbert, Jana DO Provider ID: 2165479Gender: FemaleCaresouth Carolina Inc.999 Cheraw StBennettsville, SC 29512-2420(843) 479-2341Mon - Fri 8:30 to 5:00PCMH: No


Heer, Kathleen DO Provider ID: 1592885Gender: FemaleCaresouth Carolina Inc.Subspecialty: HRSA FQHC1076 Marlboro Way, Ste 1Bennettsville, SC 29512-2495(843) 454-2294Fax: (843) 454-1657Mon - Fri 8:00 to 5:00PCMH: No

General Practice

Moore, George MD Provider ID: 768160Gender: MaleCaresouth Carolina Inc.3080 Hwy 15-401 EMc Coll, SC 29570-6128(843) 523-5751Fax: (843) 523-6040Mon - Fri 8:30 to 5:00PCMH: No


Heer, Kathleen DO Provider ID: 1592885Gender: FemaleCaresouth Carolina Inc.Subspecialty: HRSA FQHC1076 Marlboro Way, Ste 1Bennettsville, SC 29512-2495(843) 454-2294Fax: (843) 454-1657Mon - Fri 8:00 to 5:00PCMH: No

Pediatrics

Acaylar, Francis MD Provider ID: 767732Gender: MaleMcleod Pediatrics And Primary Care1076 Marlboro Way, Ste 3Bennettsville, SC 29512-2495(843) 479-0432Fax: (843) 479-3036Mon - Fri 9:00 to 5:00PCMH: No

Candela, Zenaida MD Provider ID: 767768Gender: MaleCsc Bennettsville Peds210 W Main StBennettsville, SC 29512-3122(843) 479-1200Fax: (843) 479-1230Mon - Fri 8:30 to 5:00PCMH: No


37719585



Williamsburg

Family Practice

Adkins, Henry MD Provider ID: 1244950Gender: MaleGeorgetown Physician Associtaes LLC456 N Main StHemingway, SC 29554(843) 558-9319Fax: (843) 558-9818Mon - Fri 8:00 to 5:00PCMH: No

Allen, Raymond MD Provider ID: 769685Gender: MaleMcleod Family Medicine Kingstree512 Nelson Blvd, Ste 200Kingstree, SC 29556(843) 355-5459Fax: (843) 355-9704Mon - Fri 7:30 to 6:00PCMH: No

Atkinson, Ernest MD Provider ID: 767198Gender: MaleMusc Physicians Primary Care Kingst342 W Main StKingstree, SC 29556(843) 355-3621Fax: (843) 355-3624Musc Health Florence Medical CenterMon, Wed - Fri 8:00 to 5:00 Tue 2:00 to 10:00PCMH: No

Brown, Morris MD Provider ID: 1051420Gender: MaleFamily Medicine Associates LLC505 Thurgood Marshall HwyKingstree, SC 29556-4107(843) 355-8380Fax: (843) 355-5247Lake City Community HospitalMon - Wed 8:00 to 4:30 Thu - Fri 8:00 to 12:00PCMH: No

Crosby, Thomas MD Provider ID: 1245653Gender: MaleGeorgetown Physician Associtaes LLC456 N Main StHemingway, SC 29554(843) 558-9319Fax: (843) 558-9818Mon - Fri 8:00 to 5:00 Sat 8:30 to 12:00PCMH: No

Ellis, Richard MD Provider ID: 767523Gender: MaleMusc Physicians Primary Care Kingst342 W Main StKingstree, SC 29556-3235(843) 355-3621Fax: (843) 355-3624Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00PCMH: No

Mims, Albert MD Provider ID: 768631Gender: MaleMusc Physicians Primary Care Kingst342 W Main StKingstree, SC 29556-3235(321) 452-4470Fax: (843) 355-3624Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00PCMH: No

Tomlinson III, Samuel MD Provider ID: 2322840Gender: MaleHopehealth Kingstree520 Thur Marshall Hwy, Ste BKingstree, SC 29556-4108(843) 355-5628Fax: (843) 355-5616Mon - Fri 7:30 to 5:00PCMH: No

Internal Medicine

Dominici Jr, Raymond MD Provider ID: 1577697Gender: MaleHopehealth Kingstree520 Thurgood Marshall Hwy, Ste BKingstree, SC 29556-4108(843) 355-5628Fax: (843) 355-6072Mon - Fri 7:30 to 5:00PCMH: No


37719585


Chesterfield

General Surgery

Dameron, Jason MD Provider ID: 1847116Gender: MaleMcleod Health Cheraw721 S Doctors DrCheraw, SC 29520-7108(843) 320-9086Fax: (843) 320-1257Mon - Fri 8:00 to 5:00 PCMH: No

Ghorra, Salim MD Provider ID: 857921Gender: MaleMcleod Surgery Cheraw721 S Doctors Dr, # CCheraw, SC 29520-7108(843) 320-9086Fax: (843) 320-9087Mon - Fri 8:00 to 5:00 PCMH: No

Harling, Michael MD Provider ID: 1584826Gender: MaleMcleod Surgery Cheraw721 S Doctors DrCheraw, SC 29520-7108(843) 320-9086Fax: (843) 320-1257Mon - Fri 8:00 to 5:00 PCMH: No

Pack, Mark MD Provider ID: 1168395Gender: MaleMcleod Surgery Cheraw721 S Doctors DrCheraw, SC 29520-7108(843) 320-9086Fax: (843) 320-1257Mon - Fri 8:00 to 5:00 PCMH: No

Thomas, Chadwick MD Provider ID: 1700450Gender: MaleMcleod Surgery Cheraw721 S Doctors DrCheraw, SC 29520-7108(843) 320-9086Fax: (843) 320-1257Mon - Fri 8:00 to 5:00 PCMH: No

Tolmos, Jorge MD Provider ID: 1710842Gender: MaleMcleod Surgery Cheraw721 S Doctors DrCheraw, SC 29520-7108(843) 320-9086Fax: (843) 320-1257Mon - Fri 8:00 to 5:00 PCMH: No

Infectious Disease

Olatosi, Akinwale MD Provider ID: 831059Gender: MaleSandhills Med FoundationSubspecialty: HRSA FQHC409 E Church StJefferson, SC 29718(803) 778-2442Fax: (803) 778-0880Languages: SpanishMon - Fri 9:00 to 5:00 PCMH: No

Neuro Psychiatrist Md

Dimkpa, Rajeshree MD Provider ID: 1520151Gender: FemaleIntegrated Care Services Inc110 Duvall StCheraw, SC 29520-2406(843) 253-5076Fax: (843) 253-5100Mon - Fri 8:00 to 5:00 PCMH: No

Neurology

Almidani, Mazen MD Provider ID: 2318889Gender: MaleMcleod Health Cheraw711 Chesterfield HwyCheraw, SC 29520-7002(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Corti, Sandro MD Provider ID: 2318922Gender: MaleMcleod Health Cheraw711 Chesterfield HwyCheraw, SC 29520-7002(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Khishchenko, Natan MD Provider ID: 2318929Gender: MaleMcleod Health Cheraw711 Chesterfield HwyCheraw, SC 29520-7002(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Li, Sui MD Provider ID: 2318939Gender: MaleMcleod Health Cheraw711 Chesterfield HwyCheraw, SC 29520-7002(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No



37719585


Chesterfield

Neurology - cont.

Mehari, Tigist MD Provider ID: 2318943Gender: FemaleMcleod Health Cheraw711 Chesterfield HwyCheraw, SC 29520-7002(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Mendelson, Joshua MD Provider ID: 2318945Gender: MaleMcleod Health Cheraw711 Chesterfield HwyCheraw, SC 29520-7002(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Murtaza, Amir MD Provider ID: 2318960Gender: MaleMcleod Health Cheraw711 Chesterfield HwyCheraw, SC 29520-7002(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Newman, Richard MD Provider ID: 2318967Gender: MaleMcleod Health Cheraw711 Chesterfield HwyCheraw, SC 29520-7002(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Null, Elizabeth MD Provider ID: 2318968Gender: FemaleMcleod Health Cheraw711 Chesterfield HwyCheraw, SC 29520-7002(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Patel, Neil MD Provider ID: 2318971Gender: MaleMcleod Health Cheraw711 Chesterfield HwyCheraw, SC 29520-7002(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No


Hoffman, Michael MD Provider ID: 1162575Gender: MaleMcleod Ob Gyn Cheraw721 Chesterfield HwyCheraw, SC 29520-7002(843) 537-7881Fax: (843) 921-1213Mon - Fri 8:00 to 5:00 PCMH: No

Kolb, Cynthia MD Provider ID: 774288Gender: FemaleMcleod Ob/Gyn Bennettsville1076 Marlboro Way, Ste 1Cheraw, SC 29520-7002(843) 454-2294Fax: (843) 454-1657Mon - Fri 9:00 to 5:00 PCMH: No

Kolb, Cynthia MD Provider ID: 774288Gender: FemaleMcleod Ob/Gyn Cheraw721 Chesterfield HwyCheraw, SC 29520-7002(843) 921-1211Fax: (843) 921-1213Mon - Fri 9:00 to 5:00 PCMH: No

Schindler, Joycelyn MD Provider ID: 970568Gender: FemaleMcleod OBGYN Cheraw721 Chesterfield HwyCheraw, SC 29520-7002(843) 921-1211Fax: (843) 921-1213Mcleod Loris Seacoast HoLanguages: TagalogMon - Fri 9:00 to 5:00 PCMH: No

Ophthalmology

French, John MD Provider ID: 960610Gender: MaleJohn W Fench Md705 Chesterfield HwyCheraw, SC 29520-7002(843) 537-7711Fax: (843) 537-9582Mon - Fri 8:00 to 5:00 PCMH: No

Optometry

Covington, Al OD Provider ID: TPVCOVI02-01Gender: MaleCovington Optometric Eye Clini703 Market StreetCheraw, SC 29520(843) 537-3641Fax: (843) 537-3646www.covingtoneye.comMon, Wed 9:00 to 5:00 Tue, Thu 9:00 to 9:00 Fri 8:00 to 5:00 PCMH: No



37719585


Chesterfield

Optometry - cont.

Mcdowell, James OD Provider ID: TPVMCDO17-01Gender: MaleDrs Kelley & Mcdowell Pa217 North Pearl StreetPageland, SC 29728(843) 672-7233Fax: (843) 672-7234Wed 8:30 to 12:00 PCMH: No

Psychiatry

Ogunfowora, Ayodele MD Provider ID: 1708792Gender: MaleSandhill Medical Foundation Jeffers409 E Church StJefferson, SC 29718(843) 658-3055Fax: (843) 658-7780Mon - Fri 8:00 to 5:00 PCMH: No

Ogunfowora, Ayodele MD Provider ID: 1708792Gender: MaleSandhill Medical Foundation Mcbee645 S 7th StMcbee, SC 29101(843) 335-8291Fax: (843) 335-8291Mon - Fri 8:00 to 5:00 PCMH: No

Vascular Surgery

Rzucidlo, Eva MD Provider ID: 1164665Gender: Female710 Chesterfield HwyCheraw, SC 29520-7001(843) 777-7043Fax: (843) 777-7041PCMH: No



37719585


Darlington


Stone, Harry MD Provider ID: 777042Gender: MaleStone Jr Harry D701 Medical Park Dr, Ste 104Hartsville, SC 29550(843) 332-3191Fax: (843) 332-3801Mon, Thu 9:00 to 11:30 Tue - Wed, Fri 9:00 to 5:00 PCMH: No


Guha, Prabal MD Provider ID: 770147Gender: MaleMcleod Cardiology Associates1319 S 4th StHartsville, SC 29550-7458(843) 667-1891Fax: (843) 665-2516Mon - Fri 9:00 to 5:00 PCMH: No

Cardiology

Bali, Arvind MD Provider ID: 770214Gender: MaleHartsville Medical Group LLC701 Medical Park Dr, Ste 302-303Hartsville, SC 29550(843) 383-5191Fax: (843) 383-4142Carolina Pines Regional Medical CenterMon - Fri 9:00 to 5:00 PCMH: No

Grainger, Terry MD Provider ID: 769872Gender: MalePh Medical Group Midlands701 Medical Park Dr, Ste 301Hartsville, SC 29550-4779(843) 383-5978Fax: (843) 383-5977Mon - Fri 9:00 to 5:00 PCMH: No

Guha, Prabal MD Provider ID: 770147Gender: MaleMcleod Cardiology Associates1319 S 4th StHartsville, SC 29550-7458(843) 667-1891Fax: (843) 665-2516Mon - Fri 9:00 to 5:00 PCMH: No

Patton, John MD Provider ID: 979192Gender: MaleMcleod Cardiology Associates1319 S 4th StHartsville, SC 29550-7458(843) 667-1891Fax: (843) 665-2516Mon - Fri 9:00 to 5:00 PCMH: No

Stellingworth, Mark MD Provider ID: 446038Gender: MalePh Medical Group Midlands701 Medical Park Dr, Ste 301Hartsville, SC 29550-4779(843) 383-5978Fax: (843) 383-5977Mon - Fri 8:30 to 5:00 PCMH: No

Chiropractic

Bryan, John DC Provider ID: 777292Gender: MalePametto Wellness And Injury Center331 S 4th StHartsville, SC 29550-5734(843) 332-6191Fax: (843) 332-4408Mon - Thu 8:30 to 5:30 Fri 8:30 to 1:00 PCMH: No

Skipper, Stephen DC Provider ID: 771663Gender: MaleCenter For Health And Wellness PC600 W Carolina AveHartsville, SC 29550-4410(843) 383-2340Fax: (843) 383-2341Mon - Fri 9:00 to 5:00 PCMH: No

Ear Nose & Throat

Dyce, Orville MD Provider ID: 1136015Gender: FemaleBlack Creek Medical Consultants LLC696 Medical Park DrHartsville, SC 29550-4782(843) 383-5312Fax: (843) 383-6501Mon - Fri 8:00 to 6:00 PCMH: No

Dyce, Orville MD Provider ID: 1136015Gender: Female149 E Carolina AveHartsville, SC 29550-4213(843) 383-5312Fax: (843) 383-6501PCMH: No

Family Practice

Areephanthu, Abraham MD Provider ID: 773874Gender: MaleApogee Medical Group Sc1304 W Bobo Newsom HwyHartsville, SC 29550-4710(843) 339-2100Fax: (843) 339-4886Mon - Fri 9:00 to 5:00 PCMH: No



37719585


Darlington


Brewton, Mary DO Provider ID: 1284030Gender: FemaleMcleod Urgent Care Darlington964 Lochend DrDarlington, SC 29532(843) 777-6890Fax: (843) 777-6891Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 4:00 PCMH: No

Crickman, Bonnie MD Provider ID: 775485Gender: FemaleMcleod Urgent Care Centers964 Lochend DrDarlington, SC 29532(843) 777-6890Fax: (843) 777-6890Mon - Fri 9:00 to 5:00 PCMH: No

Dickinson, Elizabeth MD Provider ID: 773733Gender: FemaleMcleod Urgent Care Center964 Lochend DrDarlington, SC 29532(843) 777-6890Fax: (843) 777-6891Mon - Fri 8:00 to 8:00 Sat 9:00 to 4:00 PCMH: No

Howington, Bryan MD Provider ID: 1243609Gender: MaleMcleod Urgent Care Darlington964 Lochend DrDarlington, SC 29532(843) 777-6890Fax: (843) 777-6891Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 4:00 PCMH: No

Lanning Lowther, Lisa DO Provider ID: 942761Gender: FemaleMcleod Urgent Care Darlington964 Lochend DrDarlington, SC 29532(843) 777-6890Fax: (843) 777-6891Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 4:00 PCMH: No

Mohr, Richard MD Provider ID: 772678Gender: MaleMcleod Urgent Care Center964 Lochend DrDarlington, SC 29532(843) 777-6890Fax: (843) 777-6891Mon - Fri 8:00 to 8:00 Sat 9:00 to 4:00 PCMH: No

Padgett, Edwin MD Provider ID: 1491457Gender: MaleMcleod Urgent Care Darlington964 Lochend DrDarlington, SC 29532-5698(843) 777-6890Fax: (843) 777-6891Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 4:00 PCMH: No

Skinner, Motte MD Provider ID: 769517Gender: MaleMcleod Urgent Care Darlington964 Lochend DrDarlington, SC 29532-5698(843) 777-6890Fax: (843) 777-6891Mon - Fri 9:00 to 5:00 PCMH: No

Smith, Cory MD Provider ID: 773451Gender: MaleMcleod Urgent Care Center964 Lochend DrDarlington, SC 29532(843) 777-6890Fax: (743) 777-6891Mon - Fri 9:00 to 5:00 PCMH: No

General Surgery

Bannister, Carroll MD Provider ID: 774995Gender: MaleHartsville Surgical Center LLC701 Medical Park Dr, Ste 101Hartsville, SC 29550-4777(843) 339-4295Fax: (843) 339-4609Mon - Fri 8:30 to 5:00 Sat 8:30 to 12:30 PCMH: No

Bannister, Carroll MD Provider ID: 902239Gender: MaleHartsville Medical Group LLC701 Medical Park Dr, Ste 101Hartsville, SC 29550-4777(843) 339-4295Fax: (843) 339-4609Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:00 PCMH: No

Cooler, Arthur MD Provider ID: 772116Gender: Male1304 W Bobo Newsom HwyHartsville, SC 29550-4710(843) 339-2100PCMH: No



37719585


Darlington

General Surgery - cont.

Cooler, Arthur MD Provider ID: 772116Gender: MaleHartsville Surgical Center704 Medical Park DrHartsville, SC 29550(843) 332-1099Fax: (843) 332-1091Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:30 PCMH: No

Dameron, Jason MD Provider ID: 775186Gender: MaleHartsville Surgical Center704 Medical Park DrHartsville, SC 29550(843) 332-1099Fax: (843) 332-1091Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:30 PCMH: No

Mincheff, Thomas MD Provider ID: 774868Gender: MaleHartsville Surgical Center704 Medical Park DrHartsville, SC 29550(843) 332-1099Fax: (843) 332-1091Wed 2:00 to 5:00 Fri 9:00 to 12:00 PCMH: No

Sizemore, Patrick MD Provider ID: 1789085Gender: MaleHartsville Surgical Center LLC704 Medical Park DrHartsville, SC 29550-4765(843) 332-1099Fax: (843) 332-1091Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:30 PCMH: No

Hand Surgery

Litts, Christopher MD Provider ID: 1226038Gender: MaleMcleod Pee Dee Orthopedic Asso-ciate1319 S 4th StHartsville, SC 29550-7458(843) 662-5233Fax: (843) 678-9003Mon - Fri 9:00 to 5:00 PCMH: No

Infectious Disease

Aduako, Cecilia MD Provider ID: 1240297Gender: FemaleCaresouth Carolina Inc.1268 S 4th StHartsville, SC 29550(843) 332-3422Fax: (843) 332-3985Mon - Fri 7:30 to 6:00 Sat 9:00 to 1:00 PCMH: No

Internal Medicine

Quaye, Emmanuel MD Provider ID: 770123Gender: MaleApogee Medical Group Sc1304 W Bobo Newsom Hwy, Fl 2Hartsville, SC 29550-4710(843) 339-2100Fax: (843) 339-4886Mon - Fri 9:00 to 5:00 PCMH: No

Licensed Clinical Social Worker

Penzo Shumard, Asya LMSW

Provider ID: 1268474Gender: FemaleCaresouth Carolina Inc.737 S Main StSociety Hill, SC 29593(843) 378-4501Mon - Fri 8:00 to 5:00 PCMH: No

Nephrology

Govindappa, Venugopal MD Provider ID: 1226030Gender: Male1308 S 4th StHartsville, SC 29550-7447(843) 383-9526Fax: (843) 383-9577PCMH: No

Okoh, Samuel MD Provider ID: 1158733Gender: MaleHartsville Medical Group LLC701 Medical Park Dr, Ste 302-303Hartsville, SC 29550(843) 383-3634Fax: (843) 383-4142Mon - Fri 8:00 to 5:00 PCMH: No

Neuropsychology

West, Jesse PHD Provider ID: 1965193Gender: MaleCaresouth Carolina Inc1268 S 4th StHartsville, SC 29550-0703(843) 332-3422Fax: (843) 332-3985Mon - Fri 8:30 to 5:00 Sat 9:00 to 1:00 PCMH: No

Neuroradiology

Edgar, Kenneth MD Provider ID: 1086977Gender: MalePee Dee Health Care201 Cashua StDarlington, SC 29532-3301(843) 393-7452Fax: (843) 395-8435Mon - Fri 8:00 to 5:00 PCMH: No



37719585


Darlington


Baroody, Brent MD Provider ID: 1070547Gender: MaleLamar Family Care301 W Main StLamar, SC 29069-7102(843) 395-8400Fax: (843) 395-8401Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Baroody, Brent MD Provider ID: 1070547Gender: MalePee Dee Healthcare201 Cashua StDarlington, SC 29532-3301(843) 393-7452Fax: (843) 395-8435Mon - Fri 8:00 to 5:00 PCMH: No

Daniel, Scott MD Provider ID: 771231Gender: Male1304 W Bobo Newsom HwyHartsville, SC 29550-4710(843) 339-2100PCMH: No

Daniel, Scott MD Provider ID: 771231Gender: MaleWomens Care701 Medical Park Dr, Ste 202Hartsville, SC 29550-4765(843) 339-9222Fax: (843) 339-2830Mon - Fri 9:00 to 5:00 PCMH: No

Danzey, Toya MD Provider ID: 771119Gender: FemaleThe Center For Womens Health122 W College AveHartsville, SC 29550(843) 383-8889Fax: (843) 383-8868Mon - Fri 9:00 to 5:00 PCMH: No

Quaye, Michelle MD Provider ID: 926676Gender: FemaleWellness Boutique LLC107 W College AveHartsville, SC 29550-4113(843) 639-6012Fax: (843) 536-4194Mon - Fri 9:00 to 5:00 PCMH: No

Robinson, Leroy MD Provider ID: 777216Gender: MaleWomens Care701 Medical Park Dr, Ste 202Hartsville, SC 29550(843) 339-9222Fax: (843) 656-0102Mon - Fri 9:00 to 5:00 PCMH: No

Ophthalmology

Fishburne, Barron MD Provider ID: 907976Gender: MaleCarolina Retina Center Pa122 S 4th StHartsville, SC 29550-4220(803) 736-7200Fax: (803) 736-2116Wed 8:30 to 5:00 PCMH: No

Gross, Jeffrey MD Provider ID: 935679Gender: MaleCarolina Retina Center Pa122 S 4th StHartsville, SC 29550-4220(803) 736-7200Fax: (803) 736-2116Wed 8:30 to 5:00 PCMH: No

Karth, Peter MD Provider ID: 1777011Gender: MaleCaresouth Carolina Inc.737 S Main StSociety Hill, SC 29593-8972(843) 857-0111Fax: (843) 857-0206Mon - Fri 8:30 to 5:00 PCMH: No

Vasuki, Nagavivek MD Provider ID: 1899330Gender: MaleClemson Eye Pa504 S 4th StHartsville, SC 29550-5720(864) 654-6706Fax: (864) 343-2074Mon - Fri 8:00 to 5:30 PCMH: No

Optician

Eyes Over Carolina PC Provider ID: TPVEYES18-011150 South 4th Street, Walmart Vision Center 1135Hartsville, SC 29550(843) 857-1999Fax: (843) 383-8951Wed 9:00 to 6:00 PCMH: No

Jones Family Eyecare PC Provider ID: TPVJONE21-01122 South 4th StreetHartsville, SC 29550(843) 332-8323Fax: (843) 332-2826Mon - Thu 8:00 to 5:30 Fri 8:00 to 5:00 PCMH: No

Pee Dee Eye Associates Provider ID: TPVPEED01-01504 South Fourth StreetHartsville, SC 29550(843) 332-7171Fax: (843) 332-7802Mon - Fri 8:00 to 5:00 PCMH: No



37719585


Darlington

Optician - cont.

Walmart Vision Center Provider ID: TPVWALM40-041150 South 4th Street, Walmart Vision Center 1135Hartsville, SC 29550(843) 383-2013Fax: (843) 383-8951Mon - Sat 9:00 to 6:00 PCMH: No

Optometry

Alexander, William OD Provider ID: 2096140Gender: MaleClemson Eye Pa504 S 4th StHartsville, SC 29550-5720(864) 654-6706Fax: (843) 332-7802Mon - Fri 8:00 to 5:00 PCMH: No

Alexander, William OD Provider ID: TPVALEX06-01Gender: MaleClemson Eye Pa504 South Fourth StreetHartsville, SC 29550(843) 332-7171Fax: (843) 332-7802www.peedeeeye.comMon - Fri 8:00 to 5:00 PCMH: No

Brinton, Evan OD Provider ID: TPVBRIN13-01Gender: MaleEyes Over Carolina PC1150 South 4th Street, Walmart Vision Center 1135Hartsville, SC 29550(843) 857-1999Fax: (803) 227-8996Mon, Wed, Fri 9:00 to 6:00 PCMH: No

Flowers, Stephen OD Provider ID: 2094653Gender: MaleClemson Eye Pa504 S 4th StHartsville, SC 29550-5720(864) 654-6706Fax: (864) 343-2074Mon - Fri 8:00 to 5:00 PCMH: No

Flowers, Stephen OD Provider ID: TPVFLOW04-01Gender: MaleClemson Eye Pa504 South Fourth StreetHartsville, SC 29550(843) 332-7171Fax: (843) 332-7802Mon - Fri 8:00 to 5:00 PCMH: No

Jones, Keith OD Provider ID: TPVJONE25-01Gender: MaleJones Family Eyecare PC122 South 4th StreetHartsville, SC 29550(843) 332-8323Fax: (843) 332-2826Mon - Thu 8:00 to 5:30 Fri 8:00 to 5:00 PCMH: No

Jones, Jordi OD Provider ID: TPVJONE26-01Gender: FemaleJones Family Eyecare PC122 South 4th StreetHartsville, SC 29550(843) 332-8323Fax: (843) 332-2826Mon - Thu 8:00 to 5:30 Fri 8:00 to 5:00 PCMH: No

Lemon, Edward OD Provider ID: TPVLEMO02-07Gender: MaleBergelt Optometric LLC251 Andover PlaceDarlington, SC 29532(843) 409-1954Fax: (843) 432-3189Wed 9:00 to 4:00 PCMH: No

Mitchell, Edwin OD Provider ID: TPVMITC17-08Gender: MaleEyes Over Carolina PC1150 South 4th Street, Walmart Vision Center 1135Hartsville, SC 29550(843) 857-1999Fax: (803) 227-8996Wed 9:00 to 6:00 PCMH: No

Newman, Ted OD Provider ID: 2094565Gender: MaleClemson Eye Pa504 S 4th StHartsville, SC 29550-5720(843) 654-6706Fax: (843) 343-2074Mon - Fri 8:00 to 5:00 PCMH: No

Newman, Ted OD Provider ID: TPVNEWM11-01Gender: MaleClemson Eye Pa504 South Fourth StreetHartsville, SC 29550(843) 332-7171Fax: (843) 332-7802Mon - Fri 8:00 to 5:00 PCMH: No



37719585


Darlington

Optometry - cont.

Panicker, Jaison OD Provider ID: TPVPANI01-01Gender: MaleBergelt Optometric LLC251 Andover PlaceDarlington, SC 29532(843) 409-1954Fax: (843) 432-3189Mon - Wed 9:30 to 4:30 PCMH: No

Panicker, Jaison OD Provider ID: TPVPANI01-02Gender: MaleBergelt Optometric LLC1150 South 4th StreetHartsville, SC 29550(843) 857-1999Fax: (843) 432-3189Mon, Wed 9:00 to 6:00 Tue 9:30 to 4:30 PCMH: No

Scruggs, Miles OD Provider ID: TPVSCRU04-05Gender: MaleEyes Over Carolina PC1150 South 4th Street, Walmart Vision Center 1135Hartsville, SC 29550(843) 857-1999Fax: (803) 227-8996Mon, Wed, Fri 9:00 to 6:00 PCMH: No

Zeplin, Vincent OD Provider ID: TPVZEPL01-22Gender: MaleBergelt Optometric LLC1150 South 4th StreetHartsville, SC 29550(843) 857-1999Fax: (843) 432-3189Mon 9:00 to 6:00 PCMH: No

Orthopaedic Surgery

Badve, Siddharth MD Provider ID: 1366710Gender: MaleHartsville Medical Group LLC700 Medical Park DrHartsville, SC 29550-4765(843) 383-5191Fax: (843) 383-3745Mon - Fri 8:00 to 5:00 PCMH: No

Denton, Patrick MD Provider ID: 776321Gender: MaleMcleod Pee Dee Orthopedic Asso-ciate1319 S 4th StHartsville, SC 29550-7458(843) 662-5233Fax: (843) 678-9003Mon - Fri 9:00 to 5:00 PCMH: No

Freeman, Gil MD Provider ID: 1651755Gender: MaleHartsville Medical Group LLC700 Medical Park DrHartsville, SC 29550-4765(843) 383-3742Fax: (843) 383-3745Mon - Fri 8:00 to 5:00 PCMH: No

Hassler, Terence MD Provider ID: 962651Gender: MaleHartsville Orthopedics And Sports M700 Medical Park DrHartsville, SC 29550-4765(843) 383-5191Fax: (843) 383-3745Mon - Thu 8:30 to 5:30 Fri 8:00 to 3:00 PCMH: No

Hassler, Terence MD Provider ID: 962651Gender: Male1304 W Bobo Newsom HwyHartsville, SC 29550-4710(843) 339-2100PCMH: No

Litts, Christopher MD Provider ID: 1226038Gender: MaleMcleod Pee Dee Orthopedic Asso-ciate1319 S 4th StHartsville, SC 29550-7458(843) 662-5233Fax: (843) 678-9003Mon - Fri 9:00 to 5:00 PCMH: No

O'dell, Jason MD Provider ID: 771124Gender: MaleMcleod Pee Dee Orthopedic Asso-ciate1319 S 4th StHartsville, SC 29550-7458(843) 662-5233Fax: (843) 678-9003Mon - Fri 9:00 to 5:00 PCMH: No

Sproul, Jack MD Provider ID: 1982052Gender: MaleHartsville Medical Group LLC700 Medical Park DrHartsville, SC 29550-4765(843) 383-3742Fax: (843) 383-3745Mon - Fri 8:00 to 5:00 PCMH: No

Sproul, Jack MD Provider ID: 1982052Gender: MaleHartsville Medical Group LLC DBA701 Medical Park Dr, Ste 302-303Hartsville, SC 29550-4777(843) 383-3634Fax: (843) 383-4142Mon - Fri 8:00 to 5:00 PCMH: No



37719585


Darlington

Orthopaedic Surgery - cont.

Wynkoop, Aaron MD Provider ID: 2069382Gender: MaleHartsville Orthopedic And Sports Me700 Medical Park DrHartsville, SC 29550-4765(843) 383-3742Fax: (843) 383-6456Mon - Fri 8:30 to 5:00 PCMH: No

Psychiatry

Ardaman, Miles MD Provider ID: 1563970Gender: MaleMcleod Psychiatric Associates701 Cashua Ferry RdDarlington, SC 29532-8488(843) 777-4200Fax: (843) 777-4296Mon - Fri 9:00 to 5:00 PCMH: No

Kayan, Sabih MD Provider ID: 1654754Gender: MaleMcleod Psychiatric Associates701 Cashua Ferry RdDarlington, SC 29532-8488(843) 777-4200Fax: (843) 777-4296Mon - Fri 9:00 to 5:00 PCMH: No

Khan, Sanaulla MD Provider ID: 771631Gender: MaleMcleod Psychiatric Associates701 Cashua Ferry RdDarlington, SC 29532(843) 777-1100Fax: (843) 777-4296Mon - Fri 8:00 to 5:00 PCMH: No

Pulmonary Disease

Atkins III, John MD Provider ID: 1765204Gender: MaleHartsville Medical Group LLC701 Medical Park Dr, Ste 208Hartsville, SC 29550-4778(843) 339-3030Fax: (843) 383-0115Mon - Fri 8:00 to 5:00 PCMH: No

Barnard, Mark MD Provider ID: 1235038Gender: MaleHartsville Medical Group1304 W Bobo Newsom HwyHartsville, SC 29550(843) 339-3030Fax: (843) 383-0115Mon - Sun 12:00 to 12:00 PCMH: No

Govindappa, Venugopal MD

Provider ID: 847791Gender: MaleHartsville Medical Group LLC701 Medical Park Dr, Ste 302-303Hartsville, SC 29550-4778(843) 383-3634Fax: (843) 383-4142Mon - Fri 8:00 to 5:00 PCMH: No

Sports Medicine

Denton, Patrick MD Provider ID: 776321Gender: MaleMcleod Pee Dee Orthopedic Asso-ciate1319 S 4th StHartsville, SC 29550-7458(843) 662-5233Fax: (843) 678-9003Mon - Fri 9:00 to 5:00 PCMH: No

Urology

Horger, David MD Provider ID: 1549764Gender: MaleHartsville Medical Group LLC701 Medical Park Dr, Ste 110Hartsville, SC 29550-4777(843) 656-1204Fax: (843) 656-1212Mon - Fri 8:00 to 5:00 PCMH: No

Vaught, Winston MD Provider ID: 770202Gender: MaleThe Medical Group Urology701 Medical Park Dr, Ste 110Hartsville, SC 29550(843) 383-5191Fax: (843) 383-0115Mon - Fri 8:30 to 5:00 PCMH: No



37719585


Dillon

Chiropractic

Cline, Matthew DC Provider ID: 775347Gender: MaleAdvantage Health Center Of Dillon P106 E Madison StDillon, SC 29536(843) 774-0440Fax: (843) 774-0477Mon, Fri 11:00 to 7:00 Wed 7:00 to 7:00 Thu 1:00 to 8:00 PCMH: No

Nodrick, Deborah MD Provider ID: 773027Gender: FemaleNodrick Chiropractic And Rehab-ilita200 W Harrison St, Ste CDillon, SC 29536-3331(843) 841-3911Fax: (843) 841-3912Mon - Thu 8:00 to 6:00 Fri 9:30 to 6:00 PCMH: No

Schilsky, Suezen DC Provider ID: 1271011Gender: FemaleRoff And Schilsky Chiropractic Cent200 E Roosevelt StDillon, SC 29536(843) 627-3222Fax: (843) 627-3223Mon - Wed, Fri 8:30 to 5:30 Thu 8:30 to 12:30 PCMH: No

Endocrinology Diabetes Metabolism

Mack, Aimar MD Provider ID: 776633Gender: Female2376 Cypress Cir, Ste 202Conway, SC 29526-8994(843) 234-9700Fax: (843) 234-6896PCMH: No

Family Practice

Mitchell, Benjamin MD Provider ID: 770467Gender: MaleMcleod Medical Center Dillion301 E Jackson StDillon, SC 29536-2509(843) 774-4111Mon - Fri 9:00 to 5:00 PCMH: No

General Surgery

Adams, Jessica DO Provider ID: 1994924Gender: FemaleMcleod General Surgery Dillon705 N 8th Ave, Ste 2bDillon, SC 29536-2549(843) 841-3846Fax: (843) 841-3848Mon - Fri 8:00 to 5:00 PCMH: No

Berglind, William MD Provider ID: 1729496Gender: MaleMcleod General Surgery Dillon705 N 8th Ave, Ste 2bDillon, SC 29536-2549(843) 841-3846Fax: (843) 841-3848Mon - Fri 8:00 to 5:00 PCMH: No

Dougherty, Joseph MD Provider ID: 2334018Gender: MaleMcleod General Surgery Dillon705 N 8th Ave, Ste 2bDillon, SC 29536-2549(843) 841-3846Fax: (843) 841-3848Mon - Fri 8:00 to 5:00 PCMH: No

Neurology

Abalsom, Nicholas MD Provider ID: 2296047Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Aguilar, Maria MD Provider ID: 2296058Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Almidani, Mazen MD Provider ID: 2318889Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Avila, Amanda MD Provider ID: 2296062Gender: FemaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No



37719585


Dillon

Neurology - cont.

Baluja, Vivek MD Provider ID: 2296068Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Behravan, Vahid MD Provider ID: 2296073Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Bixler, Christopher MD Provider ID: 2296076Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Borte, Bernadette MD Provider ID: 2296081Gender: FemaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Boudreau, Michelle DO Provider ID: 2296089Gender: FemaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Bradley, Nina DO Provider ID: 2296091Gender: FemaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Cheshire, Amanda MD Provider ID: 2296099Gender: FemaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Chumble, Shubhangi MD Provider ID: 2296102Gender: FemaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Colongarcia, Patricia MD Provider ID: 2313069Gender: FemaleMcleod Medical Center Dillon301 E Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Corti, Sandro MD Provider ID: 2318922Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Dhadwal, Neetu MD Provider ID: 2296105Gender: FemaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Feliciano, Carlos MD Provider ID: 2296106Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Figueroa Garcia, Alberto MD

Provider ID: 2309820Gender: MaleMcleod Medical Center Dillon301 E Jackson StDillon, SC 29536-2509(843) 774-4111Fax: (843) 774-4000Mon - Sun 12:00 to 12:00 PCMH: No



37719585


Dillon

Neurology - cont.

Floyd, Jessica MD Provider ID: 2296118Gender: FemaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Friedman, Mark DO Provider ID: 2296124Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Gupta, Raina MD Provider ID: 2296134Gender: FemaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Heller, Adam MD Provider ID: 2296141Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Jimenez-Sanders, Rebecca MD

Provider ID: 2296144Gender: FemaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Khishchenko, Natan MD Provider ID: 2318929Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Lamar, Cory MD Provider ID: 2296147Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Li, Sui MD Provider ID: 2318939Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Lue, Stanley MD Provider ID: 2296149Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Masud, Muhammad MD Provider ID: 2296151Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Mcdonald, Mark MD Provider ID: 2309837Gender: MaleMcleod Medical Center Dillon301 E Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Mednick, Adam MD Provider ID: 2296158Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Mendelson, Joshua MD Provider ID: 2318945Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No



37719585


Dillon

Neurology - cont.

Meyers, Clifford MD Provider ID: 2296173Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Mojumder, Deb MD Provider ID: 2296162Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Mowzoon, Mina MD Provider ID: 2296165Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Murtaza, Amir MD Provider ID: 2318960Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Nagaraja, Harsha MD Provider ID: 2296176Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Newman, Richard MD Provider ID: 2318967Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Null, Elizabeth MD Provider ID: 2318968Gender: FemaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Patel, Neil MD Provider ID: 2318971Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Plancher, Joao Mc-Oneil MD

Provider ID: 2296180Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Riordan, Katherine MD Provider ID: 2296187Gender: FemaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Saha, Sam MD Provider ID: 2296191Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Sebesto, Jason DO Provider ID: 2296197Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No



37719585


Dillon

Neurology - cont.

Sevilis, Theresa DO Provider ID: 2296203Gender: FemaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Snyder, Michael MD Provider ID: 2296207Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Sombutmai, Chut DO Provider ID: 2296211Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Tigist, Mehari MD Provider ID: 2318987Gender: FemaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Vajapey, Geetanjali MD Provider ID: 2296230Gender: FemaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Valanta, Douglas MD Provider ID: 2296236Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Vega, Jose MD Provider ID: 2309880Gender: Male301 E Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Vidgop, Yelana MD Provider ID: 2309865Gender: FemaleMcleod Medical Center Dillon301 E Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Won, Mai MD Provider ID: 2296245Gender: FemaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Zaman, Mohammed DO Provider ID: 2296247Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No


Caron, Philip DO Provider ID: 2306013Gender: MaleMcleod Ob/Gyn Dillon706 N 8th AveDillon, SC 29536-2540(843) 841-3825Fax: (843) 841-3830Mon - Fri 8:00 to 5:00 PCMH: No

Clarke, Cheryl MD Provider ID: 1798835Gender: FemaleMcleod Ob/Gyn Dillon706 N 8th AveDillon, SC 29536-2540(843) 841-3825Fax: (843) 841-3830Mon - Fri 8:00 to 5:00 PCMH: No

Climer, Clyde MD Provider ID: 1289784Gender: MaleMcleod Ob/Gyn-Dillon705 N 8th Ave, Ste 3bDillon, SC 29536-2549(843) 841-3825Fax: (843) 841-3830Mon - Fri 8:00 to 6:00 PCMH: No



37719585


Dillon


Durst, John MD Provider ID: 1829321Gender: MaleMcleod OBGYN Dillon706 N 8th AveDillon, SC 29536-2540(843) 841-3825Fax: (843) 777-7422Mon - Fri 8:00 to 5:00 PCMH: No

Faiyaz, Seema MD Provider ID: 1838054Gender: FemaleMcleod Ob/Gyn Dillon706 N 8th AveDillon, SC 29536-2540(843) 841-3825Fax: (843) 841-3830Languages: Hindi, SpanishMon - Fri 8:00 to 5:00 PCMH: No

Hoffman, Michael MD Provider ID: 1162575Gender: MaleMcleod OBGYN Dillon705 N 8th Ave, Ste 3bDillon, SC 29536-2549(843) 841-3825Fax: (843) 841-3830Mon - Fri 9:00 to 5:00 PCMH: No

Jones, Stephen MD Provider ID: 1993287Gender: MaleMcleod Ob/Gyn Dillon706 N 8th AveDillon, SC 29536-2540(843) 841-3825Fax: (843) 841-3830Mon - Fri 8:00 to 5:00 PCMH: No

Kolb, Cynthia MD Provider ID: 774288Gender: FemaleMcleod Ob/Gyn Dillon705 N 8th Ave, Ste 3bDillon, SC 29536-2549(843) 841-3825Fax: (843) 841-3830Mon - Fri 9:00 to 5:00 PCMH: No

Lusk, Clifford MD Provider ID: 773596Gender: MaleMcleod Ob/Gyn Dillon706 N 8th Ave, Ste 430Dillon, SC 29536-2540(843) 841-3825Fax: (843) 841-3830Mon - Fri 8:00 to 5:00 PCMH: No

Moore, Dorwin MD Provider ID: 1690552Gender: MaleMcleod Ob/Gyn Dillon706 N 8th AveDillon, SC 29536-2540(843) 841-3825Fax: (843) 841-3830Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Schindler, Joycelyn MD Provider ID: 970568Gender: FemaleMcleod OBGYN Dillon705 N 8th Ave, Ste 3bDillon, SC 29536-2549(843) 841-3825Fax: (843) 841-3830Mcleod Loris Seacoast HoLanguages: TagalogMon - Fri 9:00 to 5:00 PCMH: No

Ophthalmology

Greene, Howard MD Provider ID: 1899332Gender: MaleClemson Eye Pa300 E Monroe StDillon, SC 29536(843) 664-9393Mon - Fri 8:00 to 5:00 PCMH: No

Seltzer, Samuel MD Provider ID: 1899328Gender: MaleClemson Eye Pa300 E Monroe StDillon, SC 29536(843) 664-9393Fax: (843) 664-2301Mon - Fri 8:00 to 5:00 PCMH: No

Optometry

Gaddy, Mckethan OD Provider ID: 2094644Gender: MaleClemson Eye Pa300 E Monroe StDillon, SC 29536-2560(864) 654-6706Fax: (864) 343-2074Mon - Fri 8:30 to 5:00 PCMH: No

Gaddy, Mckethan OD Provider ID: TPVMCKE22-01Gender: MaleClemson Eye Pa300 East Monroe StreetDillon, SC 29536(864) 654-6706Fax: (864) 343-2074Mon - Thu 8:00 to 5:30 Fri 8:00 to 5:00 PCMH: No



37719585


Dillon

Orthopaedic Surgery

Sutton, Michael DO Provider ID: 772509Gender: Male301 E Jackson StDillon, SC 29536-2509(843) 774-4111PCMH: No

Sutton, Michael DO Provider ID: 772509Gender: MaleMcleod Orthopaedic Of Dillon705 N 8th Ave, Ste 1bDillon, SC 29536-2549(843) 487-1588Fax: (843) 487-1590Mon - Fri 8:00 to 5:00 PCMH: No

Psychology

Jasper, Kendell PHD Provider ID: 1243608Gender: MaleJasper Psychological Services PLLC1508b Highway 301 NDillon, SC 29536(704) 910-5395Fax: (704) 791-0560Mon 11:00 to 1:00 Tue 12:00 to 5:00 PCMH: No

Urology

Fukuda, Christopher MD Provider ID: 1190179Gender: MaleMcleod Urology Associates705 N 8th AveDillon, SC 29536-2549(843) 777-7555Fax: (843) 777-7563Mon - Fri 9:00 to 5:00 PCMH: No



37719585


Florence


Crouch, Timothy MD Provider ID: 775082Gender: MaleAllergy Asthma And Sinus Center800 E Cheves St, Ste 420Florence, SC 29506-2606(843) 679-9335Fax: (843) 679-9294Mon, Thu 9:00 to 5:00 Tue 9:00 to 11:30 Wed, Fri 9:00 to 4:00 PCMH: No

Douglas, Danny MD Provider ID: 770019Gender: MaleAllergy Asthma And Sinus Center PC3980 Hwy 9 East, Ste 260Florence, SC 29506-2606(843) 399-9033Fax: (843) 399-9051Mon - Fri 8:30 to 5:30 PCMH: No

Douglas, Danny MD Provider ID: 770019Gender: MaleAllergy Asthma And Sinus Center PC5046 Hwy 17 Bypass S, Ste 105Florence, SC 29506-2606(843) 293-5000Fax: (843) 293-4748Mon - Fri 8:30 to 5:30 PCMH: No

Douglas, Danny MD Provider ID: 770019Gender: Male800 E Cheves St, Ste 420Florence, SC 29506-2649(843) 679-9335Fax: (843) 669-4214PCMH: No

Imbeau, Stephen MD Provider ID: 775592Gender: MaleAllergy Asthma And Sinus Center800 E Cheves St, Ste 420Florence, SC 29506(843) 679-9335Fax: (843) 679-9294Mon - Fri 8:30 to 5:30 PCMH: No

Moyer, Joseph MD Provider ID: 770623Gender: MaleAllergy Asthma And Sinus Center800 E Cheves St, Ste 420Florence, SC 29506-2606(843) 679-9335Fax: (843) 679-9294Mon - Fri 8:30 to 5:30 PCMH: No

Stone, Harry MD Provider ID: 777042Gender: MaleAllergy Asthma Sinus Center800 E Cheves St, Ste 420Florence, SC 29506(843) 679-9335Fax: (843) 669-4214Mon - Fri 8:30 to 5:30 PCMH: No


Guha, Prabal MD Provider ID: 770147Gender: MaleMcleod Cardiology Associates101 William H Johnson St, Ste 600Florence, SC 29506-2779(843) 667-1891Fax: (843) 665-2516Mon - Fri 8:00 to 5:00 PCMH: No

Kocherla, Cyrus MD Provider ID: 2312801Gender: MaleMcleod Cardiology Associates101 William H Johnson St, Ste 600Florence, SC 29506-2773(843) 667-1891Fax: (843) 665-2516Mon - Fri 8:00 to 5:00 PCMH: No

Cardiology

Blaker, Alan MD Provider ID: 771656Gender: MaleMcleod Cardiology Associates101 William H Johnson St, Ste 600Florence, SC 29506-2779(843) 667-1891Fax: (843) 665-2516Mcleod Regional Medical CenterMon - Fri 9:00 to 5:00 PCMH: No

Debsikdar, Jaideep MD Provider ID: 1843187Gender: MaleAdvanced Cardiology Consultants P.1706 2nd Loop RdFlorence, SC 29501-6119(843) 629-8084Fax: (843) 629-8684Mon - Fri 8:30 to 5:00 PCMH: No

Guha, Prabal MD Provider ID: 770147Gender: MaleMcleod Cardiology Associates101 William H Johnson St, Ste 600Florence, SC 29506-2779(843) 667-1891Fax: (843) 665-2516Mon - Fri 8:00 to 5:00 PCMH: No



37719585


Florence

Cardiology - cont.

Holland, Evans MD Provider ID: 774657Gender: MalePee Dee Cardiology Associates101 William H Johnson St, Ste 600 Mcleod Medical Park EastFlorence, SC 29506(843) 667-1891Fax: (843) 662-9651Mon - Fri 9:00 to 5:00 PCMH: No

Holland, Evans MD Provider ID: 774657Gender: MalePee Dee Cardiology Associates901 E Cheves St, Ste 600Florence, SC 29506(843) 667-1891Fax: (843) 665-2516Mon - Fri 8:00 to 5:00 PCMH: No

Karrowni, Wassef MD Provider ID: 1849561Gender: MaleMusc Physicians Cardiology Florence805 Pamplico Hwy, Ste B230Florence, SC 29505(843) 674-2955Fax: (843) 664-9863Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Lee, James MD Provider ID: 772459Gender: MalePee Dee Cardiology Associates Pa901 E Cheves St, Ste 600Florence, SC 29506(843) 667-1891Fax: (843) 665-2516Mon - Fri 8:00 to 5:00 PCMH: No

Naso, Nicolette MD Provider ID: 776451Gender: FemaleMcleod Cardiology Associates101 William H Johnson St, Ste 600Florence, SC 29506-2779(843) 667-1891Fax: (843) 665-2516Mon - Fri 8:00 to 5:00 PCMH: No

Naso, Nicolette MD Provider ID: 776452Gender: FemalePee Dee Cardiology Assoc901 E Cheves St, Ste 600Florence, SC 29506(843) 667-1891Fax: (843) 665-2516Mon - Fri 8:00 to 5:00 PCMH: No

Om, Anil MD Provider ID: 777235Gender: MaleMcleod Cardiology Associates101 William H Johnson St, Ste 600Florence, SC 29506-2779(843) 667-1891Fax: (843) 665-2516Mon - Fri 8:00 to 5:00 PCMH: No

Patton, John MD Provider ID: 979192Gender: MaleMcleod Cardiology Associates101 William H Johnson St, Ste 600Florence, SC 29506-2779(843) 667-1891Fax: (843) 665-2516Mon - Fri 8:00 to 5:00 PCMH: No

Rahman, Ossama MD Provider ID: 1849506Gender: Male1594 Freedom Blvd, Bldg C100Florence, SC 29505(843) 674-4787Musc Health Florence Medical CenterPCMH: No

Stoughton, Thomas MD Provider ID: 772064Gender: MaleMcleod Cardiology Associates101 Johns St, Ste 600Florence, SC 29506-2779(843) 667-1891Fax: (843) 665-2516Mon - Fri 8:00 to 5:00 PCMH: No

Chiropractic

Bergrin, Jon DC Provider ID: 771838Gender: MaleFamily Neck And Back Center405 S Ebenezer RdFlorence, SC 29501(843) 662-4341Fax: (843) 679-3060Mon - Fri 7:00 to 6:00 PCMH: No

Edwards II, Ira DC Provider ID: 1604440Gender: MalePalmetto Wellness And Injury Cente436 W Palmetto St, Ste BFlorence, SC 29501-4425(843) 665-7110Fax: (843) 665-1282Mon - Thu 8:30 to 5:30 Fri 8:30 to 1:00 PCMH: No

Ferrigno, Michael DC Provider ID: 774729Gender: MaleFerrigno Healthcare2554 W Palmetto StFlorence, SC 29501(843) 662-2110Fax: (843) 662-1991Mon, Thu - Fri 8:00 to 6:00 PCMH: No



37719585


Florence

Chiropractic - cont.

Gittens, David DC Provider ID: 1173946Gender: MaleGitten Chiropractic Clinic333 W Palmetto StFlorence, SC 29501(843) 678-9394Fax: (843) 678-9909Mon - Wed 8:30 to 6:00 Thu 8:30 to 7:00 Fri 8:30 to 1:30 PCMH: No

Hutcheson, Brian DC Provider ID: 1229195Gender: MaleHopehealth Inc600 E Palmetto StFlorence, SC 29506(843) 667-9414Fax: (843) 667-1362Mon - Fri 7:30 to 5:00 PCMH: No

Hutcheson, Brian DC Provider ID: 1229195Gender: MaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Fri 8:00 to 8:00 PCMH: No

Jordan, Chucky DC Provider ID: 1353712Gender: MaleBiospine Health And Wellness LLC1800 2nd Loop Rd, Ste 8Florence, SC 29501(843) 713-0669Fax: (866) 663-0329Mon - Thu 9:00 to 6:00 Fri 8:00 to 1:00 PCMH: No

Patel, Kunal DC Provider ID: 1581742Gender: MaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Fri 8:00 to 8:00 PCMH: No

Stone, Amanda DC Provider ID: 1648406Gender: FemaleFamily Neck Back Center405 S Ebenezer RdFlorence, SC 29501-7916(843) 662-4341Fax: (843) 679-3060Mon - Thu 7:00 to 6:00 Fri 8:00 to 5:00 PCMH: No

Wenner, Bryan DC Provider ID: 774583Gender: MalePalmetto Chiropractic Neck Back Ce2147 Hoffmeyer Rd, Ste AFlorence, SC 29501(843) 662-8000Fax: (843) 664-0994Mon - Thu 8:30 to 6:00 Fri 8:30 to 5:00 PCMH: No

Ear Nose & Throat

Farrell, Howard MD Provider ID: 771638Gender: MaleFlorence Ears Nose Throat PC1521 Mclure CtFlorence, SC 29505-6174(843) 665-2900Fax: (843) 629-8122Mon - Thu 8:00 to 5:00 Fri 8:00 to 2:00 PCMH: No

Hopla, Dan MD Provider ID: 772332Gender: MaleEar Nose Throat Associates800 E Cheves St, Ste 370Florence, SC 29506-2649(843) 667-3533Fax: (843) 292-0038Mon - Fri 9:00 to 5:00 PCMH: No

Mckay, Shawn MD Provider ID: 770584Gender: MaleFlorence Ears Nose Throat PC1521 Mclure CtFlorence, SC 29505-6174(843) 665-2900Fax: (843) 629-8122Mon - Fri 8:00 to 5:00 PCMH: No

Rosi, David DO Provider ID: 1259155Gender: MaleMcleod ENT Associates800 E Cheves St, Ste 370Florence, SC 29506(843) 667-3533Fax: (843) 292-0038Mon - Fri 8:30 to 5:00 PCMH: No

Rosi, David DO Provider ID: 2322842Gender: MaleFlorence Ears Nose And Throat1521 Mclure CtFlorence, SC 29505-6174(843) 665-2900Fax: (843) 629-8122Mon - Fri 8:30 to 5:00 PCMH: No



37719585


Florence


Culleton, John MD Provider ID: 1818284Gender: MaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Languages: SpanishMon - Sat 8:00 to 8:00 PCMH: No

Pande, Meenakshi MD Provider ID: 812871Gender: FemaleMusc Physicians Endocrinology Flore1594 Freedom Blvd, Ste 205Florence, SC 29505-6046(843) 673-7560Fax: (843) 673-7563Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Shenouda, Hany MD Provider ID: 1729255Gender: MaleMcleod Endocrinology Associates101 S Ravenel St, Ste 300Florence, SC 29506-2618(843) 777-7490Fax: (843) 777-7480Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Wilkins, Francesca MD Provider ID: 1434917Gender: FemaleMcleod Endocrinology Associates101 S Ravenel St, Ste 300Florence, SC 29506-2621(843) 777-7490Fax: (843) 777-7480Mon - Fri 8:00 to 5:00 PCMH: No

Family Practice

Brewton, Mary DO Provider ID: 1284030Gender: FemaleMcleod Urgent Care Centers3015 W Palmetto StFlorence, SC 29501(843) 777-6870Fax: (843) 777-6871Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 4:00 PCMH: No

Bruce, Valarian MD Provider ID: 1026742Gender: MaleMcleod Urgent Care Center3015 W Palmetto StFlorence, SC 29501-5935(843) 777-6870Fax: (843) 777-6871Mon - Fri 8:00 to 9:00 Sat - Sun 9:00 to 4:00 PCMH: No

Crickman, Bonnie MD Provider ID: 775485Gender: FemaleMcleod Urgent Care Centers3015 W Palmetto StFlorence, SC 29501(843) 777-6870Fax: (843) 777-6871Mon - Fri 9:00 to 5:00 PCMH: No

Dickinson, Elizabeth MD Provider ID: 773733Gender: FemaleMcleod Urgent Care Center3015 W Palmetto StFlorence, SC 29501(843) 777-6870Fax: (843) 777-6871Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 3:00 PCMH: No

Howington, Bryan MD Provider ID: 1243609Gender: MaleMcleod Urgent Care Center3015 W Palmetto StFlorence, SC 29501-5935(843) 777-6870Fax: (843) 777-6871Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 4:00 PCMH: No

James, Kiasha MD Provider ID: 774099Gender: FemaleMcleod Regional Medical Ctr Hospita555 E Cheves StFlorence, SC 29506-2617(843) 777-2000Mon - Fri 9:00 to 5:00 PCMH: No

Jebaily, Deann DO Provider ID: 769766Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506(843) 777-2000Mon - Fri 9:00 to 5:00 PCMH: No

Lanning Lowther, Lisa DO Provider ID: 942761Gender: FemaleMcleod Urgetn Care Centers3015 W Palmetto StFlorence, SC 29501(843) 777-6870Fax: (843) 777-6871Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 4:00 PCMH: No



37719585


Florence


Miranda, Roberto MD Provider ID: 1007106Gender: MaleMusc Physicians Primary Care Vance2501 S Vance Dr, Ste AFlorence, SC 29505-6163(843) 679-4019Fax: (843) 679-4022Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Mohr, Richard MD Provider ID: 772678Gender: MaleMcleod Urgent Care Center3015 W Palmetto StFlorence, SC 29501(843) 777-6870Fax: (843) 777-6871Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 4:00 PCMH: No

Morgan, Patrick MD Provider ID: 964823Gender: MaleMcleod Urgent Care Center3015 W Palmetto StFlorence, SC 29501-5935(843) 777-6870Fax: (843) 777-6871Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 8:00 PCMH: No

Moskos, Frank MD Provider ID: 1587661Gender: MaleMcleod Health Florence555 E Cheves StFlorence, SC 29506(843) 777-2000Mon - Sun 12:00 to 12:00 PCMH: No

Padgett, Edwin MD Provider ID: 1491457Gender: MaleMcleod Urgent Care Center3015 W Palmetto StFlorence, SC 29501-5935(843) 777-6870Fax: (843) 777-6886Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 4:00 PCMH: No

Singh, Navdeep MD Provider ID: 769580Gender: FemaleMcleod Family Medicine Center555 E Cheves StFlorence, SC 29506(843) 777-2800Fax: (843) 777-5350Mon - Fri 8:30 to 5:00 PCMH: No

Skinner, Motte MD Provider ID: 769517Gender: MaleMcleod Urgent Care Center3015 W Palmetto StFlorence, SC 29501-5935(843) 777-6870Fax: (843) 777-6871Mon - Wed 8:30 to 5:00 Thu - Fri 9:00 to 5:00 PCMH: No

Smith, Cory MD Provider ID: 773451Gender: MaleMcleod Urgent Care Center3015 W Palmetto StFlorence, SC 29501(843) 777-6870Fax: (843) 777-6871Mon - Fri 9:00 to 5:00 PCMH: No

Strauss, Louis MD Provider ID: 1600296Gender: MaleMcleod Health Florence555 E Cheves StFlorence, SC 29506-2617(843) 777-2000Mon - Sun 12:00 to 12:00 PCMH: No

Zeleke, Akal MD Provider ID: 2313398Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Gastroenterology

Ansari, Shoukath MD Provider ID: 1163119Gender: MaleMcleod Digestive Health Center401 East Cheves St, Ste 301Florence, SC 29506-2615(843) 777-7166Fax: (843) 777-7167Languages: TamilMon - Fri 9:00 to 5:00 PCMH: No

Ansari, Shoukath MD Provider ID: 1163119Gender: MaleMpa Ic Physician506 E Cheves St, Ste 202Florence, SC 29506-2616(843) 777-2000Fax: (843) 777-7006Languages: TamilMon - Fri 9:00 to 5:00 PCMH: No



37719585


Florence

Gastroenterology - cont.

Chowdhary, Deepak MD Provider ID: 772009Gender: MaleMcleod Digestive Helath Center401 E Cheves St, Ste 301Florence, SC 29506-2615(843) 777-7166Fax: (843) 777-7167Mon - Fri 8:00 to 5:00 PCMH: No

Jaggers, Terri MD Provider ID: 1605032Gender: FemaleMcleod Digestive Health Center401 E Cheves St, Ste 301Florence, SC 29506-2615(843) 777-7166Fax: (843) 777-7167Mon - Fri 8:00 to 5:00 PCMH: No

Moscatello, Salvatore DO Provider ID: 1165304Gender: MaleMcleod Digestive Health Center401 E Cheves St, # 301Florence, SC 29506-2615(843) 777-7166Fax: (843) 777-7167Mon - Fri 8:00 to 5:00 PCMH: No

Moscatello, Salvatore DO Provider ID: 1165304Gender: MaleMpa Ic Physicians506 E Cheves St, Ste 202Florence, SC 29506-2616(843) 777-7000Fax: (843) 777-7006Mon - Fri 9:00 to 5:00 PCMH: No

Oza, Veeral MD Provider ID: 1153427Gender: MaleMcleod Digestive Health Center401 E Cheves St, Ste 301Florence, SC 29506-2615(843) 777-7166Fax: (843) 777-7167Languages: Gujarati, Hindi, UrduMon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Pannu, Davinderbir MD Provider ID: 1487128Gender: MaleMcleod Digestive Helath Center401 E Cheves St, Ste 301Florence, SC 29506-2615(843) 777-7166Fax: (843) 777-7167Languages: Hindi, PunjabiMon - Thu 8:00 to 5:00 Fri 8:00 to 3:00 PCMH: No

Razick, Manver MD Provider ID: 1019495Gender: MaleMusc Physicians Gastroenterology Fl805 Pamplico Hwy, Ste A 220Florence, SC 29505-6056(843) 674-1530Fax: (843) 673-9098Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Spurling, Timothy MD Provider ID: 1049364Gender: Male555 E Cheves StFlorence, SC 29506-2617(843) 777-7333PCMH: No

Spurling, Timothy MD Provider ID: 1049364Gender: MaleMcleod Digestive Health Center401 E Cheves St, Ste 301Florence, SC 29506-2615(843) 777-7166Fax: (843) 777-7167Mon - Fri 8:00 to 5:00 PCMH: No

Wolford, John MD Provider ID: 775483Gender: MaleMcleod Digestive Helath Center401 E Cheves St, Ste 301Florence, SC 29506-2615(843) 777-7166Fax: (843) 777-7167Mcleod Regional Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Zaraket, Vera MD Provider ID: 1849593Gender: FemaleMusc Physicians Gastroenterology Fl805 Pamplico Hwy, Ste A220Florence, SC 29505(843) 674-1530Fax: (843) 673-9098Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

General Surgery

Abdallah, Hatem MD Provider ID: 2354514Gender: MaleMusc Physicians Floyd Medical Group805 Pamplico Hwy, Ste 230 Medical Mall AFlorence, SC 29505(843) 669-1220Fax: (843) 669-3725Mon - Fri 8:00 to 5:00 PCMH: No



37719585


Florence


Brewton, Cary DO Provider ID: 1157552Gender: MalePee Dee Surgical Group800 E Cheves St, Ste. 260Florence, SC 29506(843) 319-1371Fax: (843) 665-1257Mon - Fri 8:00 to 5:00 PCMH: No

Eck, Dustin MD Provider ID: 1970101Gender: MaleMcleod Plastic And Reconstructive401 E Cheves St, Ste 302Florence, SC 29506-2615(843) 777-7255Fax: (843) 679-6883Mon - Fri 8:00 to 5:00 PCMH: No

Fam, Nabil MD Provider ID: 775157Gender: Male258 N Ron Mcnair BlvdLake City, SC 29560-2462(843) 374-2036Lake City Community HospitalPCMH: No

Fam, Nabil MD Provider ID: 775157Gender: MaleFam Nabil A324 Mercy StLake City, SC 29560(843) 374-9945Fax: (843) 374-5699Lake City Community HospitalMon, Wed - Thu 2:00 to 5:00 Tue, Fri 9:00 to 5:00 PCMH: No

Floyd, Cecil MD Provider ID: 815416Gender: MaleMusc Physicians Floyd Medical Group805 Pamplico Hwy, A230Florence, SC 29505(843) 669-1220Fax: (843) 669-3725Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Gause, John MD Provider ID: 776384Gender: MalePee Dee Surgical Group800 E Cheves St, Ste 260Florence, SC 29506(843) 665-7941Fax: (843) 665-1257Mon - Fri 8:30 to 5:00 PCMH: No

Gause, John MD Provider ID: 776385Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506(843) 777-2000Fax: (843) 777-5357Mon - Fri 9:00 to 5:00 PCMH: No

Guidry, Christopher MD Provider ID: 2315836Gender: MalePee Dee Surgical Group800 E Cheves St, Ste 260Florence, SC 29506-2652(843) 665-7941Fax: (843) 665-1257Mon - Fri 8:00 to 5:00 PCMH: No

Harris, James MD Provider ID: 815482Gender: MaleMusc Physicians Floyd Medical Group805 Pamplico Hwy, Ste A230Florence, SC 29505-6047(843) 669-1220Fax: (843) 669-3725Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Lee, Frank MD Provider ID: 817730Gender: MaleMusc Physicians Floyd Medical Group805 Pamplico Hwy, Ste A230Florence, SC 29505-5057(843) 674-5000Fax: (843) 629-7274Mon - Fri 8:00 to 5:00 PCMH: No

Mincey, Kenneth MD Provider ID: 775799Gender: MaleSouthern Surgical901 E Cheves StFlorence, SC 29506(843) 777-7010Fax: (843) 777-7006Mon - Fri 8:00 to 5:00 PCMH: No

Murrell, Amy MD Provider ID: 774287Gender: FemalePee Dee Surgical Group800 E Cheves St, Ste 260Florence, SC 29502(843) 777-7900Fax: (843) 665-1257Mon - Fri 8:30 to 5:00 PCMH: No



37719585


Florence


Pack, Mark MD Provider ID: 899801Gender: MaleMusc Physicians Floyd Medical Group805 Pamplico Hwy, Ste A230Florence, SC 29505-6057(843) 674-5000Fax: (843) 629-2611Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Pearson, Joseph MD Provider ID: 775283Gender: MalePee Dee Surgical Group800 E Cheves St, Ste 260Florence, SC 29506(843) 665-7941Fax: (843) 665-1257Mon - Fri 8:30 to 5:00 PCMH: No

Player, Keith MD Provider ID: 773708Gender: MalePee Dee Surgical Group800 E Cheves St, Ste 260Florence, SC 29506(843) 665-7941Fax: (843) 665-1257Mon - Fri 9:00 to 5:00 PCMH: No

Reynolds, Mark MD Provider ID: 774739Gender: MalePee Dee Surgical Group800 E Cheves St, Ste 260Florence, SC 29506(843) 665-7941Fax: (843) 665-1257Mon - Fri 8:30 to 5:00 PCMH: No

Richey, John MD Provider ID: 1498820Gender: MalePee Dee Surgical Group800 E Cheves St, Ste 260Florence, SC 29506-2652(843) 665-7941Fax: (843) 665-1257Mon - Fri 8:00 to 5:00 PCMH: No

Sonfield, John MD Provider ID: 771990Gender: MalePee Dee Surgical Group800 E Cheves St, Ste 260Florence, SC 29506(843) 665-7941Fax: (843) 665-1257Mon - Fri 8:30 to 5:00 PCMH: No

White, Nicholas MD Provider ID: 1240280Gender: MalePee Dee Surgical Group800 E Cheves St, Ste 260Florence, SC 29506(843) 665-7941Fax: (843) 665-1257Mon - Fri 8:00 to 5:00 PCMH: No

Young, Eric MD Provider ID: 771079Gender: MaleSouthern Surgical901 E Cheves StFlorence, SC 29506(843) 777-7010Fax: (843) 777-7006Mon - Fri 8:00 to 5:00 PCMH: No

Hand Surgery

Litts, Christopher MD Provider ID: 1226038Gender: MaleMcleod Orthopaedics800 E Cheves St, Ste 480Florence, SC 29506-2653(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No

Litts, Christopher MD Provider ID: 1226038Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No

Moore, Robert MD Provider ID: 775563Gender: MaleHand Surgery Associates LLC1498 Freedom Blvd, Ste 305Florence, SC 29505-6077(843) 676-2720Fax: (843) 676-2722Mon - Thu 8:00 to 4:30 Fri 8:00 to 3:00 PCMH: No


Bajaj, Rajesh MD Provider ID: 777220Gender: MaleMcleod Oncology And Hematology Asso401 E Cheves St, Ste 201Florence, SC 29506-2615(843) 777-7951Fax: (843) 777-7981Mon - Fri 8:30 to 5:00 PCMH: No



37719585


Florence

Hematology & Oncology - cont.

Huynh, Donny MD Provider ID: 1477274Gender: MaleMcleod Oncology And Hematology Asso401 E Cheves St, Ste 201Florence, SC 29506-2615(843) 777-7951Fax: (843) 777-7981Mon - Fri 8:00 to 5:00 PCMH: No

Lu, Rommel MD Provider ID: 915799Gender: MaleMcleod Oncology And Hematology Asso401 E Cheves St, Ste 201Florence, SC 29506(843) 777-7951Fax: (843) 777-7981Languages: TagalogMon - Fri 8:00 to 5:00 PCMH: No

Motilal Nehru, Vijeyaluxmy MD

Provider ID: 2318571Gender: FemaleMcleod Oncology Hematology Assoc401 E Cheves St, Ste 201Florence, SC 29506-2615(843) 777-7951Fax: (843) 777-7981Mon - Fri 8:00 to 5:00 PCMH: No

Pavy, Michael MD Provider ID: 774006Gender: MaleMcleod Oncology And Hematology Asso401 E Cheves St, Ste 201Florence, SC 29506-2615(843) 777-7951Fax: (843) 777-7981Mon - Fri 8:30 to 5:00 PCMH: No

Pavy, Michael MD Provider ID: 774007Gender: MaleCarolina Health Care506 E Cheves St, Ste 202Florence, SC 29506(843) 777-7951Fax: (843) 669-8609Mon - Fri 9:00 to 5:00 PCMH: No

Rao, Sreenivas MD Provider ID: 776993Gender: MaleMcleod Oncology And Hematology Asso401 E Cheves St, Ste 201Florence, SC 29506-2615(843) 777-7951Fax: (843) 777-7981Mon - Fri 8:30 to 5:00 PCMH: No

Smith, James MD Provider ID: 777217Gender: MaleMcleod Oncology And Hematology Asso401 E Cheves St, Ste 201Florence, SC 29506(843) 777-7951Fax: (843) 777-7981Mon - Fri 8:00 to 5:00 PCMH: No

Tazi, Karim MD Provider ID: 1001460Gender: MaleMcleod Oncology And Hematology Asso401 E Cheves St, Ste 201Florence, SC 29506-2615(843) 777-7951Fax: (843) 777-7981Mon - Fri 8:00 to 5:00 PCMH: No

Infectious Disease

Arroyo, Julio MD Provider ID: 1184882Gender: Male360 N Irby StFlorence, SC 29501(843) 667-9414Fax: (843) 667-1362Mon - Fri 7:30 to 5:00 PCMH: No

Bharadwaj, Ramesh MD Provider ID: 773302Gender: MaleCarolina Health Care555 E Cheves StFlorence, SC 29506-2617(843) 777-5753Fax: (843) 413-3197Languages: HindiMon - Fri 8:30 to 5:30 PCMH: No

Bharadwaj, Ramesh MD Provider ID: 877531Gender: MaleHopehealth360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-4133Mon - Fri 8:00 to 5:00 PCMH: No

Chavez, Temujin MD Provider ID: 773941Gender: Male555 E Cheves StFlorence, SC 29506-2617(843) 674-6400PCMH: No

Chavez, Temujin MD Provider ID: 773941Gender: MaleCarolinas Infectious Disease805 Pamplico Hwy, Ste B125Florence, SC 29505-6049(843) 674-6400Fax: (843) 629-7274Mon - Fri 8:30 to 5:30 PCMH: No



37719585


Florence

Infectious Disease - cont.

Olatosi, Akinwale MD Provider ID: 877600Gender: MaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (943) 667-1362Mon - Sat 8:00 to 8:00 PCMH: No

Internal Medicine

Almeida, Nathan MD Provider ID: 774862Gender: MalePee Dee Cardiology Associates Loris101 William H Johnson St, Ste 600Florence, SC 29506(843) 667-1891Fax: (643) 665-2516Mon - Fri 8:00 to 5:00 PCMH: No

Bashour, Shadi DO Provider ID: 2006398Gender: MaleMcleod Nephrology Associates101 S Ravenel St, Ste 120Florence, SC 29506-2619(843) 777-7290Fax: (843) 777-7280Mon - Thu 8:00 to 4:30 Fri 8:00 to 12:00 PCMH: No

Blaker, Brian MD Provider ID: 1991805Gender: MaleMcleod Cardiology Associates101 William H Johnson St, Ste 600Florence, SC 29506-2773(843) 667-1891Fax: (843) 665-2516Mon - Fri 8:00 to 5:00 PCMH: No

Charyalu, Maddalithirumala MD

Provider ID: 2211862Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Chavez, Temujin MD Provider ID: 773941Gender: Male555 E Cheves StFlorence, SC 29506-2617(843) 674-6400PCMH: No

Chavez, Temujin MD Provider ID: 773941Gender: MaleCarolinas Infectious Disease805 Pamplico Hwy, Ste B125Florence, SC 29505-6049(843) 674-6400Fax: (843) 629-7274Mon - Fri 8:30 to 5:30 PCMH: No

Demarco, Paul MD Provider ID: 774057Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506(843) 777-2000Mon - Fri 9:00 to 5:00 PCMH: No

Dozier, Samuel MD Provider ID: 770151Gender: MaleCbo Mrmc Hospitalists555 E Cheves St, Ste 377Florence, SC 29506-2617(843) 777-2000Mon - Fri 9:00 to 5:00 PCMH: No


Provider ID: 1544723Gender: MaleGovindappa LLC121 E Cedar StFlorence, SC 29506(843) 661-3499Fax: (843) 661-9438Languages: HindiMon - Fri 9:00 to 5:00 PCMH: No

Huynh, Donny MD Provider ID: 1477274Gender: MaleMcleod Oncology And Hematology Asso401 E Cheves St, Ste 201Florence, SC 29506-2615(843) 777-7951Fax: (843) 777-7981Mon - Fri 8:00 to 5:00 PCMH: No

Kamouh, Abdallah MD Provider ID: 1199060Gender: Male1594 Freedom Boulevard, Suite 100Florence, SC 29505(843) 674-4787Musc Health Florence Medical CenterPCMH: No

Karanam, Karthik MD Provider ID: 1218891Gender: MalePee Dee Nephrology1100 E Cheves StFlorence, SC 29506-2708(843) 669-6694Fax: (843) 669-2500Mon - Fri 8:00 to 5:00 PCMH: No



37719585


Florence


Kocherla, Cyrus MD Provider ID: 2312801Gender: MaleMcleod Cardiology Associates101 William H Johnson St, Ste 600Florence, SC 29506-2773(843) 667-1891Fax: (843) 665-2516Mon - Fri 8:00 to 5:00 PCMH: No

Maqsood, Farhan MD Provider ID: 1225609Gender: MalePee Dee Nephrology LLP1100 E Cheves StFlorence, SC 29506(843) 669-6694Fax: (843) 669-2500Mon - Fri 8:00 to 5:00 PCMH: No

Motilal Nehru, Vijeyaluxmy MD

Provider ID: 2318571Gender: FemaleMcleod Oncology Hematology Assoc401 E Cheves St, Ste 201Florence, SC 29506-2615(843) 777-7951Fax: (843) 777-7981Mon - Fri 8:00 to 5:00 PCMH: No

Okoh, Samuel MD Provider ID: 1223910Gender: MalePeedee Nephrology1100 E Cheves StFlorence, SC 29506(843) 669-6694Fax: (843) 669-2500Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Osaguona, Stephen MD Provider ID: 1798184Gender: MaleMcleod Nephrology Assoc101 S Ravenel St, Ste 120Florence, SC 29506-2619(843) 777-7290Fax: (843) 777-7260Mon - Fri 8:00 to 5:00 PCMH: No

Patel, Supen MD Provider ID: 1816985Gender: MaleHopehealth Inc600 E Palmetto StFlorence, SC 29506-2851(843) 667-9414Fax: (843) 667-1362Mon - Fri 7:30 to 5:00 PCMH: No

Pitiranggon, Pongstorn MD Provider ID: 1107656Gender: MalePee Dee Nephrology LLP1100 E Cheves StFlorence, SC 29506-2708(843) 669-6694Fax: (843) 679-4972Mcleod Regional Medical CenterMusc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Shah, Vipul MD Provider ID: 767337Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506(843) 777-2000Languages: Gujarati, HindiMon - Fri 9:00 to 5:00 PCMH: No

Singh, Harmohan MD Provider ID: 2201321Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon, Wed - Sun 12:00 to 12:00 Tue 1:20 to 12:00 PCMH: No

Subnani, Kishore MD Provider ID: 2160587Gender: MaleMcleod Cardiology Associates101 William H Johnson St, Ste 600Florence, SC 29506-2773(843) 667-1891Fax: (843) 665-2516Mon - Fri 8:00 to 5:00 PCMH: No

Taype Perez De Roberts, Carmen

MD Provider ID: 1408594Gender: FemaleMcleod Pulmonary Critical Care Ass401 E Cheves St, Ste 202Florence, SC 29506-2615(843) 777-7863Fax: (843) 777-7873Languages: SpanishMon - Fri 8:00 to 5:00 PCMH: No

Yarnal, James DO Provider ID: 777476Gender: MaleCbo Mrmc Hospitalists555 E Cheves StFlorence, SC 29506(843) 777-5622Mon - Fri 9:00 to 5:00 PCMH: No



37719585


Florence

Interventional Cardiology

Blaker, Brian MD Provider ID: 1991805Gender: MaleMcleod Cardiology Associates101 William H Johnson St, Ste 600Florence, SC 29506-2773(843) 667-1891Fax: (843) 665-2516Mon - Fri 8:00 to 5:00 PCMH: No

Rowe, Llewellyn MD Provider ID: 1841920Gender: MaleAdvanced Cardiology Consultants258 N Ron Mcnair BlvdLake City, SC 29560-2462(843) 629-8084Fax: (843) 629-8684Mon - Fri 10:00 to 5:00 PCMH: No

Rowe, Llewellyn MD Provider ID: 1841920Gender: MaleAdvanced Cardiology Consultants P.1706 2nd Loop RdFlorence, SC 29501-6119(843) 629-8084Mon - Fri 10:00 to 5:00 PCMH: No

Wolery, James MD Provider ID: 1841965Gender: MaleAdvanced Cardiology Consultants258 N Ron Mcnair BlvdLake City, SC 29560-2462(843) 629-8084Fax: (843) 629-8684Mon - Fri 10:00 to 5:00 PCMH: No

Wolery, James MD Provider ID: 1841965Gender: MaleAdvanced Cardiology Consultants P.1706 2nd Loop RdFlorence, SC 29501-6119(843) 629-8084Fax: (843) 629-8684Mon - Fri 10:00 to 5:00 PCMH: No


Alkis, Mallory MD Provider ID: 1992565Gender: FemaleMcleod Maternal Fetal Medicine101 William H Johnson St, Ste 270Florence, SC 29506-2763(843) 777-7753Fax: (843) 777-7754Mon - Fri 8:00 to 5:00 PCMH: No

Chang, Eugene MD Provider ID: 772204Gender: MaleMcleod Maternal Fetal Medicine101 Johns St, Ste 270Florence, SC 29506(843) 777-7753Fax: (843) 777-7754Mcleod Regional Medical CenterMon - Fri 9:00 to 5:00 PCMH: No

Cuff, Ryan MD Provider ID: 1899349Gender: MaleMcleod Maternal Fetal Medicine101 William H Johnson St, Ste 270Florence, SC 29506-2763(843) 777-7753Fax: (843) 777-7754Mon - Fri 8:00 to 5:00 PCMH: No

Finneran, Matthew MD Provider ID: 1959697Gender: MaleMcleod Maternal Fetal Medicine101 William H Johnson St, Ste 270Florence, SC 29506-2763(843) 777-7753Fax: (843) 777-7754Mon - Fri 8:00 to 5:00 PCMH: No

Goodier, Christopher MD Provider ID: 909252Gender: MaleMcleod Maternal Fetal Medicine101 Johns St, Ste 270Florence, SC 29506-2769(843) 777-7753Fax: (843) 777-7754Mcleod Regional Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Johnson, Donna MD Provider ID: 776174Gender: FemaleMcleod Maternal Fetal Medicine101 Johns St, Ste 270Florence, SC 29506(843) 777-7753Fax: (843) 777-7754Mon - Fri 8:00 to 5:00 PCMH: No

Sullivan, Scott MD Provider ID: 772359Gender: FemaleMcleod Maternal Fetal Medicine101 Johns St, Ste 270Florence, SC 29506-2769(843) 777-7753Fax: (843) 777-7754Mon - Fri 8:00 to 5:00 PCMH: No



37719585


Florence

Medical Oncology

Bajaj, Rajesh MD Provider ID: 777221Gender: MaleCarolina Health Care401 East Cheves St, Ste 202Florence, SC 29506(843) 777-7951Fax: (843) 777-7981PCMH: No

Smith, James MD Provider ID: 777219Gender: MaleCarolina Health Care401 E Cheves St, Ste 201Florence, SC 29506-2616(843) 777-7951Fax: (843) 777-7981Mon - Thu 8:30 to 5:30 Fri 8:30 to 4:30 PCMH: No


Cox, Jesse MD Provider ID: 773064Gender: MalePediatrix Medical Group Of South Ca555 E Cheves StFlorence, SC 29506-2617(843) 667-6229Fax: (843) 667-1758Mon - Fri 8:00 to 4:30 PCMH: No

Harlan, Joseph MD Provider ID: 771526Gender: MalePediatrix Medical Grp Of South Caro555 E Cheves StFlorence, SC 29506(843) 667-6229Fax: (843) 667-1758Mon - Fri 8:00 to 4:30 PCMH: No

Moeckel, Douglas MD Provider ID: 900828Gender: MalePediatrix Medical Group Of South Ca555 E Cheves StFlorence, SC 29506-2617(843) 667-6229Fax: (843) 667-1758Mon - Fri 8:00 to 8:00 PCMH: No

Moeckel, Douglas MD Provider ID: 900828Gender: MalePediatrix Medical Group Of South Ca805 Pamplico HwyFlorence, SC 29505-6047(843) 667-6229Fax: (843) 667-1758Mon - Fri 8:00 to 8:00 PCMH: No

Nephrology

Alsaka, Mhd MD Provider ID: 1148461Gender: MaleMcleod Nephrology Associates101 S Ravenel St, Ste 120Florence, SC 29506-2619(843) 777-7290Fax: (843) 777-7280Languages: Arabic, FrenchMon - Fri 8:00 to 5:00 PCMH: No

Alsaka, Mhd MD Provider ID: 1360852Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-3717Fax: (843) 777-5035Mon - Sun 12:00 to 12:00 PCMH: No


Provider ID: 1226030Gender: MalePee Dee Nephrology LLP1100 E Cheves StFlorence, SC 29506-2708(843) 669-6694Fax: (843) 669-2500Mon - Fri 8:00 to 5:00 PCMH: No


Provider ID: 1544723Gender: MaleGovindappa LLC121 E Cedar StFlorence, SC 29506(843) 661-3499Fax: (843) 661-9438Languages: HindiMon - Fri 9:00 to 5:00 PCMH: No

Hempton, Brittany NP Provider ID: 1849556Gender: FemaleMusc Physicians Hematology & Oncolo805 Pamplico Hwy, Ste A315Florence, SC 29505(843) 674-6460Fax: (843) 674-6470Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Okoh, Samuel MD Provider ID: 1223910Gender: MalePeedee Nephrology1100 E Cheves StFlorence, SC 29506(843) 669-6694Fax: (843) 669-2500Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No



37719585


Florence

Nephrology - cont.

Osaguona, Stephen MD Provider ID: 1798184Gender: MaleMcleod Nephrology Assoc101 S Ravenel St, Ste 120Florence, SC 29506-2619(843) 777-7290Fax: (843) 777-7260Mon - Fri 8:00 to 5:00 PCMH: No

Pitiranggon, Pongstorn MD Provider ID: 1107656Gender: MalePee Dee Nephrology LLP1100 E Cheves StFlorence, SC 29506-2708(843) 669-6694Fax: (843) 679-4972Mcleod Regional Medical CenterMusc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Pittard, John MD Provider ID: 774041Gender: Male1100 E Cheves StFlorence, SC 29506-2708(843) 669-6694Fax: (843) 669-2500PCMH: No

Regmi, Subash MD Provider ID: 1360871Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-3717Fax: (843) 777-5035Mon - Sun 12:00 to 12:00 PCMH: No

Singh, Inderpal MD Provider ID: 775701Gender: MalePee Dee Nephrology LLP1100 E Cheves StFlorence, SC 29506-2708(843) 669-6694Fax: (843) 669-2500Mon - Thu 10:00 to 5:00 Fri 8:00 to 12:00 PCMH: No


Smock, Alison MD Provider ID: 1360848Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-3717Fax: (843) 777-5035Mon - Sun 12:00 to 12:00 PCMH: No

Neurology

Abalsom, Nicholas MD Provider ID: 2315532Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Aguilar, Maria MD Provider ID: 2315534Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Amir, Murtaza MD Provider ID: 2315535Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Avila, Amanda MD Provider ID: 2315543Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Baluja, Vivek MD Provider ID: 2315544Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Behravan, Vahid MD Provider ID: 2315546Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Bixler, Christopher MD Provider ID: 2315552Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No



37719585


Florence

Neurology - cont.

Borte, Bernadette MD Provider ID: 2315555Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Boudreau, Michelle DO Provider ID: 2315557Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Bradley, Nina DO Provider ID: 2315559Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Cheshire, Amanda MD Provider ID: 2315560Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Chumble, Shubhangi MD Provider ID: 2315561Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Colon-Garcia, Patricia MD Provider ID: 2315567Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Corti, Sandro MD Provider ID: 2315569Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Dhadwal, Neetu MD Provider ID: 2315571Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Evans, Walter MD Provider ID: 776498Gender: MaleComprehensive Neurological Services436 W Palmetto StFlorence, SC 29502(843) 669-2007Fax: (843) 669-6677Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Feliciano, Carlos MD Provider ID: 2315583Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No



Floyd, Jessica MD Provider ID: 2315596Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No



37719585


Florence

Neurology - cont.

Friedman, Mark DO Provider ID: 2315598Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Good, Edward MD Provider ID: 769902Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506(843) 777-2000Mon - Fri 9:00 to 5:00 PCMH: No

Gupta, Raina MD Provider ID: 2315600Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Healy Jr, Robert MD Provider ID: 770976Gender: MaleR Joseph Healy Md Pa805 Pamplico Hwy, Ste A130Florence, SC 29505-6047(843) 664-9200Fax: (843) 664-9202Mon - Fri 8:00 to 5:00 PCMH: No

Heller, Adam MD Provider ID: 2315602Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Hodge, Michael MD Provider ID: 777478Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-2000Mon - Fri 9:00 to 5:00 PCMH: No

Jimenez-Sanders, Rebecca MD

Provider ID: 2315603Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Kass, Robin MD Provider ID: 1832651Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Kirby, Deborah MD Provider ID: 1425324Gender: FemaleMcleod Neurological Associates800 E Cheves St, Ste 380Florence, SC 29506-2649(843) 665-4104Fax: (843) 661-0160Mon - Fri 8:00 to 5:00 PCMH: No

Lamar, Cory MD Provider ID: 2315604Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Li, Mian MD Provider ID: 1360845Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-3717Fax: (843) 777-5035Mon - Sun 12:00 to 12:00 PCMH: No

Li, Sui MD Provider ID: 2315614Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Lue, Stanley MD Provider ID: 2315615Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Masud, Muhammad MD Provider ID: 2315616Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No



37719585


Florence

Neurology - cont.

Mcdonald, Mark MD Provider ID: 2315623Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Mednick, Adam MD Provider ID: 2315624Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Mehari, Tigist MD Provider ID: 2315625Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Meyers, Clifford MD Provider ID: 2315633Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Mojumder, Deb MD Provider ID: 2315635Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Mowzoon, Nima MD Provider ID: 2315636Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Nagaraja, Harsha MD Provider ID: 2315643Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Owens, Elijah MD Provider ID: 901543Gender: MaleMusc Physicians Neurology Florence1594 Freedom Blvd, Ste C305Florence, SC 29505-6046(843) 669-0927Fax: (843) 665-9323Musc Health Florence Medical CenterMon, Wed - Fri 8:00 to 5:00 Tue 9:00 to 5:00 PCMH: No

Patel, Neil MD Provider ID: 2315645Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Plancher, Joao Mc-Oneil MD


Riordan, Katherine MD Provider ID: 2315654Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Saha, Sam MD Provider ID: 2315663Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No



37719585


Florence

Neurology - cont.

Sebesto, Jason DO Provider ID: 2315665Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Sevilis, Theresa DO Provider ID: 2315666Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Shissias, Charles MD Provider ID: 2197533Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Skinner, Roland MD Provider ID: 770624Gender: MaleMcleod Neurological Associates800 E Cheves St, Ste 380Florence, SC 29506(843) 665-4104Fax: (843) 661-0160Mon - Fri 8:00 to 5:00 PCMH: No

Snyder, Michael MD Provider ID: 2315675Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Sombutmai, Chut DO Provider ID: 2315676Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Vajapey, Geetanjali MD Provider ID: 2315691Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Valanta, Douglas MD Provider ID: 2315692Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Vidgop, Yelana MD Provider ID: 2315694Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Won, Mai MD Provider ID: 2315696Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Zaman, Mohammed DO Provider ID: 2315703Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Neuropsychology

Hagan, Timothy MD Provider ID: 1360842Gender: MaleMcleod Regional Medical Center555 E Cheves St, Ste 377Florence, SC 29506-2617(843) 777-5753Fax: (843) 777-5035Mon - Sun 12:00 to 12:00 PCMH: No

Neuroradiology

Edgar, Kenneth MD Provider ID: 1086977Gender: MaleOlanta Family Care211 S Jones RdOlanta, SC 29114-9705(843) 396-9730Fax: (843) 396-9735Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No



37719585


Florence

Neurosurgery

Dominique, Devanand MD Provider ID: 1697532Gender: MaleFlorence Neurosurgery And Spine1204 E Cheves StFlorence, SC 29506-2710(843) 673-0122Mon - Thu 8:00 to 5:00 Fri 8:00 to 2:00 PCMH: No


Alkis, Mallory MD Provider ID: 1992565Gender: FemaleMcleod Maternal Fetal Medicine101 William H Johnson St, Ste 270Florence, SC 29506-2763(843) 777-7753Fax: (843) 777-7754Mon - Fri 8:00 to 5:00 PCMH: No

Baroody, Brent MD Provider ID: 1070547Gender: MaleBrent Baroody Md1523 Heritage Ln, Unit AFlorence, SC 29505-3197(843) 673-9992Fax: (843) 673-9996Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Baroody, Brent MD Provider ID: 773958Gender: MaleDavid R Chapman Md PC1523 Heritage Ln, Ste AFlorence, SC 29505(843) 673-9992Fax: (843) 673-9996Mon - Fri 9:00 to 5:00 PCMH: No

Boyd, Louise MD Provider ID: 1840835Gender: FemaleMusc Physicians Women's Health Flor1590 Freedom Blvd, Ste BFlorence, SC 29505-6071(843) 665-9581Fax: (843) 431-2171Mon - Fri 8:00 to 5:00 PCMH: No

Browning, John MD Provider ID: 773871Gender: MaleMcleod OBGYN Associates101 Johns St, Ste 500Florence, SC 29506-2772(843) 777-7400Fax: (843) 777-7440Mon - Fri 8:30 to 5:00 PCMH: No

Browning, John MD Provider ID: 773872Gender: MaleMrmc Family Medicine Ctr OBGYN555 E Cheves StFlorence, SC 29501(834) 777-2800Fax: (843) 777-5350Mon - Fri 9:00 to 5:00 PCMH: No

Campbell, William MD Provider ID: 776666Gender: MaleMcleod OBGYN Associates101 Johns St, Ste 500Florence, SC 29506-2772(843) 777-7400Fax: (843) 777-7440Mon - Fri 9:00 to 5:00 PCMH: No

Chaudhry, Anu MD Provider ID: 774061Gender: FemaleFlorence Womens Health101 Johns St, Ste 360Florence, SC 29506(843) 678-9994Fax: (843) 679-5515Languages: HindiMon - Thu 8:00 to 4:00 PCMH: No

Coughlin, Eric MD Provider ID: 1464199Gender: MaleMcleod Women's Care101 William H. Johnson St, Ste 200Florence, SC 29506-2776(843) 777-7500Mon - Fri 8:00 to 5:00 PCMH: No

Coughlin, Eric MD Provider ID: 1464199Gender: MaleMcleod Women's Care101 William H. Johnson St, Ste 430Florence, SC 29506-2777(843) 777-7500Fax: (843) 777-7533Mon - Fri 8:00 to 5:00 PCMH: No

Cuff, Ryan MD Provider ID: 1899349Gender: MaleMcleod Maternal Fetal Medicine101 William H Johnson St, Ste 270Florence, SC 29506-2763(843) 777-7753Fax: (843) 777-7754Mon - Fri 8:00 to 5:00 PCMH: No

Davidson, James MD Provider ID: 770985Gender: MaleMcleod Women's Care101 William H. Johnson St, Ste 200Florence, SC 29506(843) 777-7500Fax: (843) 777-7533Mon - Fri 8:00 to 5:00 PCMH: No



37719585


Florence


Davidson, James MD Provider ID: 770985Gender: MaleMcleod Women's Care101 William H. Johnson St, Ste 430Florence, SC 29506-2777(843) 777-7500Fax: (843) 777-7533Mon - Fri 8:00 to 5:00 PCMH: No

Emerson, Gary MD Provider ID: 775696Gender: MaleMcleod OBGYN Associates101 Johns St, Ste 500Florence, SC 29506-2772(843) 669-1264Fax: (843) 665-6326Mon - Fri 8:30 to 5:00 PCMH: No

Emerson, Gary MD Provider ID: 775697Gender: MaleMrmc Family Medicine Ctr OBGYN555 E Cheves StFlorence, SC 29501(834) 777-2800Fax: (843) 777-5350Mon - Fri 9:00 to 5:00 PCMH: No

Finneran, Matthew MD Provider ID: 1959697Gender: MaleMcleod Maternal Fetal Medicine101 William H Johnson St, Ste 270Florence, SC 29506-2763(843) 777-7753Fax: (843) 777-7754Mon - Fri 8:00 to 5:00 PCMH: No

Goldstein, Lewis MD Provider ID: 773954Gender: MaleGoldstein Lewis W653 S Coit StFlorence, SC 29501-5256(843) 317-6600Fax: (843) 317-9259Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:00 PCMH: No

Greenan, Candice MD Provider ID: 1487810Gender: FemaleMcleod Ob/Gyn Associates101 Johns St, Ste 500Florence, SC 29506-2782(843) 777-7400Fax: (843) 777-7440Mon - Thu 8:00 to 5:00 Fri 8:00 to 2:00 PCMH: No

Head, Barbara MD Provider ID: 1435346Gender: FemaleMcleod Maternal Fetal Medicine101 Johns St, Ste 270Florence, SC 29506-2777(843) 777-7753Fax: (843) 777-7754Mon - Fri 8:00 to 5:00 PCMH: No

Hemingway, Shauna MD Provider ID: 1849553Gender: FemaleMusc Physicians Women's Health Flor1590 Freedom Blvd, Ste BFlorence, SC 29505(843) 665-9581Fax: (843) 669-6426Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Hucks, Mark MD Provider ID: 776703Gender: MaleAdvanced Womens Care101 Johns St, Ste 200Florence, SC 29506(843) 622-2299Fax: (843) 656-2001Mon - Fri 9:00 to 5:00 PCMH: No

Kolb, Cynthia MD Provider ID: 774288Gender: FemaleMcleod OBGYN Associates101 Johns St, Ste 300Florence, SC 29506-2772(843) 777-7400Fax: (843) 777-7440Mon - Fri 9:00 to 5:00 PCMH: No

Kolb, Cynthia MD Provider ID: 774290Gender: MaleMrmc Family Medicine Ctr OBGYN555 E Cheves StFlorence, SC 29501(834) 777-2800Fax: (843) 777-5350Mon - Fri 9:00 to 5:00 PCMH: No

Litts, Patricia MD Provider ID: 1239570Gender: FemaleMcleod Women's Care101 William H. Johnson St, Ste 200Florence, SC 29506(843) 777-7500Fax: (843) 777-7533Mon - Fri 8:00 to 5:00 PCMH: No

Litts, Patricia MD Provider ID: 1239570Gender: FemaleMcleod Women's Care101 William H. Johnson St, Ste 430Florence, SC 29506-2777(843) 777-7500Fax: (843) 777-7533Mon - Fri 8:00 to 5:00 PCMH: No



37719585


Florence


Lusk, Clifford MD Provider ID: 773596Gender: MaleMcleod Women's Care101 William H Johnson St, Ste 200Florence, SC 29506-2769(843) 777-7500Fax: (843) 777-7533Mon - Fri 8:00 to 5:00 PCMH: No

Patchett, Jennifer MD Provider ID: 1571564Gender: FemaleMusc Physicians Women's Health Flor1590 Freedom Blvd, Ste BFlorence, SC 29505-6071(843) 674-1657Fax: (843) 669-6426Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Scott, Vincent MD Provider ID: 1849586Gender: MaleMusc Physicians Urogynecology Flore1594 Freedom Blvd, Ste C206Florence, SC 29505(843) 413-6930Fax: (843) 674-2457Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Stonerock, Emily MD Provider ID: 897112Gender: FemaleMusc Physicians Women's Health Flor1590 Freedom Blvd, Ste BFlorence, SC 29505-6071(843) 665-9581Fax: (843) 669-6426Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Suffrant, Germina MD Provider ID: 902145Gender: FemaleMusc Physicians Women's Health Flor1590 Freedom Blvd, Ste BFlorence, SC 29505-6071(843) 665-9581Fax: (843) 669-6426Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Tatum, Charles MD Provider ID: 773952Gender: MaleMcleod OBGYN Associates101 Johns St, Ste 500Florence, SC 29506-2772(843) 777-7400Fax: (843) 777-7440Mon - Fri 9:00 to 5:00 PCMH: No

Tollison, Steven MD Provider ID: 2329388Gender: MaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00 PCMH: No

Wineland, Rebecca MD Provider ID: 1629825Gender: FemaleMcleod Maternal Fetal Medicine101 Johns St, Ste 270Florence, SC 29506-2777(843) 777-7753Fax: (843) 777-7754Mon - Fri 8:00 to 5:00 PCMH: No

Ophthalmology

Clark, William MD Provider ID: 773722Gender: Male400 N Cashua DrFlorence, SC 29501-2098(803) 931-0077Fax: (803) 931-0076PCMH: No

Goodson, James MD Provider ID: TPVGOOD32-02Gender: MaleStokes Regional Eye Centers367 West Evans StreetFlorence, SC 29501(843) 669-4156Fax: (843) 664-2122Mon - Thu 8:00 to 5:30 Fri 8:00 to 12:00 PCMH: No

Greene, Howard MD Provider ID: 1899332Gender: MaleClemson Eye Pa D/B/Acarolinas Cent400 N Cashua DrFlorence, SC 29501-2098(843) 664-9393Fax: (843) 664-2301Mon - Fri 8:00 to 5:00 PCMH: No

Greene, Howard MD Provider ID: 776606Gender: MaleCarolinas Center For Sight PC400 N Cashua DrFlorence, SC 29501(843) 664-9393Fax: (843) 664-2301Mcleod Regional Medical CenterLanguages: SpanishMon - Fri 8:00 to 5:00 PCMH: No



37719585


Florence

Ophthalmology - cont.

Hypes, Stephen DO Provider ID: 1876773Gender: MalePalmetto Retina Center400 N Cashua DrFlorence, SC 29501-2098(803) 931-0077Fax: (803) 360-8038Mon - Fri 8:00 to 5:00 PCMH: No

Johnson, David MD Provider ID: 776010Gender: Male400 N Cashua DrFlorence, SC 29501-2098(803) 931-0077Fax: (803) 931-0076PCMH: No

King, Gregory MD Provider ID: 809157Gender: Male367 W Evans StFlorence, SC 29501-3429(843) 669-4156Fax: (843) 664-2122PCMH: No

King, Gregory MD Provider ID: TPVKING14-03Gender: MaleStokes Regional Eye Centers367 West Evans StreetFlorence, SC 29501(843) 669-4156Fax: (843) 664-2122Mon - Thu 8:00 to 5:30 Fri 8:00 to 12:00 PCMH: No

Lyttle, Deanna MD Provider ID: 1258487Gender: FemaleStokes Regional Eye Center367 W Evans StFlorence, SC 29501-3429(843) 669-4156Fax: (843) 664-2122Mon - Thu 8:00 to 5:00 Fri 8:00 to 2:00 PCMH: No

Lyttle, Deanna MD Provider ID: TPVLYTT01-01Gender: FemaleStokes Regional Eye Centers367 West Evans StreetFlorence, SC 29501(843) 669-4156Fax: (843) 664-2122Mon - Thu 7:30 to 5:00 Fri 7:30 to 1:00 PCMH: No

Robinson, Joshua MD Provider ID: 1408589Gender: MalePalmetto Retina Center LLC400 N Cashua DrFlorence, SC 29501(803) 931-0077Fax: (803) 360-8038Thu 9:00 to 5:00 PCMH: No

Ross, Mark MD Provider ID: 809207Gender: MaleStokes Regional Eye Centers367 W Evans StFlorence, SC 29501-3429(843) 669-4156Fax: (843) 664-2122Mon - Thu 8:00 to 5:00 Fri 8:00 to 2:00 PCMH: No

Ross, Mark MD Provider ID: TPVROSS46-01Gender: MaleStokes Regional Eye Centers367 West Evans StreetFlorence, SC 29501(843) 669-4156Fax: (843) 664-2122Mon - Thu 7:30 to 5:00 Fri 7:30 to 1:30 PCMH: No

Seltzer, Samuel MD Provider ID: 1899328Gender: MaleClemson Eye Pa400 N Cashua DrFlorence, SC 29501-2098(843) 664-9393Fax: (843) 664-2301Mon - Fri 8:00 to 5:00 PCMH: No

Seltzer, Samuel MD Provider ID: 770236Gender: MaleCarolinas Center For Sight PC400 N Cashua DrFlorence, SC 29501-2098(843) 664-9393Fax: (843) 664-2301Mon - Fri 8:00 to 5:00 PCMH: No

Stokes, Hunter MD Provider ID: 808933Gender: MaleStokes Regional Eye Centers367 W Evans StFlorence, SC 29501-3429(843) 669-4156Fax: (843) 664-2122Mon - Thu 8:00 to 5:00 Fri 8:00 to 2:00 PCMH: No

Stokes, Mark MD Provider ID: 808946Gender: MaleStokes Regional Eye Centers367 W Evans StFlorence, SC 29501-3429(843) 669-4156Fax: (843) 664-2122Languages: ArabicMon - Thu 8:00 to 5:00 Fri 8:00 to 2:00 PCMH: No



37719585


Florence


Stokes, Hunter MD Provider ID: TPVSTOK08-01Gender: MaleStokes Regional Eye Centers367 West Evans StreetFlorence, SC 29501(843) 669-4156Fax: (843) 664-2122Mon - Thu 7:30 to 5:00 Fri 7:30 to 1:30 PCMH: No

Stokes, Mark MD Provider ID: TPVSTOK09-01Gender: MaleStokes Regional Eye Centers367 West Evans StreetFlorence, SC 29501(843) 669-4156Fax: (843) 664-2122Mon - Thu 7:30 to 5:00 Fri 7:30 to 1:30 PCMH: No

Vasuki, Nagavivek MD Provider ID: 1192790Gender: MaleCarolinas Centers For Sight400 N Cashua DrFlorence, SC 29501(843) 664-9393Fax: (843) 664-2301Mcleod Regional Medical CenterLanguages: TamilMon - Fri 8:00 to 4:30 PCMH: No

Vasuki, Nagavivek MD Provider ID: 1210236Gender: MaleFlorence Surgery And Laser Center L400 N Cashua DrFlorence, SC 29501(843) 664-9393Fax: (843) 664-2301Languages: TamilMon - Fri 8:00 to 4:00 PCMH: No

Vasuki, Nagavivek MD Provider ID: 1899330Gender: MaleClemson Eye Pa400 N Cashua DrFlorence, SC 29501-2098(843) 664-9393Fax: (843) 664-2301Mon - Fri 8:00 to 4:30 PCMH: No

Whiteside, Daniela MD Provider ID: 1467833Gender: FemaleFive Star Diagnostic LLC555 E Cheves StFlorence, SC 29506(205) 538-3076Fax: (205) 449-5031Mon - Fri 8:00 to 5:00 PCMH: No

Zakhour, Isam MD Provider ID: 809199Gender: MaleStokes Regional Eye Centers367 W Evans StFlorence, SC 29501-3429(843) 669-4156Fax: (843) 664-2122Mon - Thu 8:00 to 5:00 Fri 8:00 to 2:00 PCMH: No

Optician

Eyemart Express LLC Provider ID: TPVEYEM20-092672 David H Mccleod BoulevardFlorence, SC 29501(843) 407-3626Fax: (843) 665-1988Mon - Fri 9:00 to 7:00 Sat 9:00 to 5:00 PCMH: No

Florence Primary Eyecare PC Provider ID: TPVFLOR04-012014 South Irby StreetFlorence, SC 29505(843) 679-9005Fax: (843) 292-0403Mon - Thu 9:00 to 5:00 Fri 9:00 to 4:00 PCMH: No

Walmart Vision Center Provider ID: TPVWALM40-172014 South Irby Street, Walmart Vision Center 2703Florence, SC 29505(843) 292-0401Fax: (843) 292-0403Mon - Fri 8:00 to 6:00 Sat 9:00 to 6:00 PCMH: No

Walmart Vision Center Provider ID: TPVWALM40-58900 Us 52 Highway, Walmart Vision Center 621Lake City, SC 29560(843) 394-7626Fax: (843) 394-8052Mon - Sat 9:00 to 6:00 PCMH: No

Optometry

Andrews, David OD Provider ID: TPVANDR14-01Gender: MalePalmetto Vision Center PC2138 West Palmetto Street, Palmetto Vision CenterFlorence, SC 29501(843) 662-1989Fax: (843) 667-8897Mon - Fri 9:00 to 5:00 PCMH: No



37719585


Florence

Optometry - cont.

Bergelt, Solita OD Provider ID: TPVBERG31-07Gender: FemaleBergelt Optometric LLC2672 David Mcleod BoulevardFlorence, SC 29501(843) 773-2758Fax: (843) 432-3189Mon - Thu 9:00 to 6:00 Fri 9:00 to 5:00 Sat 9:00 to 3:00 PCMH: No

Brooks, Michelle OD Provider ID: TPVBROO23-01Gender: FemaleCharles Wilfong Od181 West Cheves StreetFlorence, SC 29501(843) 662-0691Fax: (843) 678-9723Mon - Fri 9:00 to 5:00 PCMH: No

Brooks, Michelle OD Provider ID: TPVBROO23-02Gender: FemaleBergelt Optometric LLC2672 David Mcleod BoulevardFlorence, SC 29501(843) 773-2758Fax: (843) 432-3189Mon - Fri 9:00 to 5:00 Sat 9:00 to 3:00 PCMH: No

Harvey, Shannon OD Provider ID: 1641710Gender: FemaleStokes Regional Eye Centers367 W Evans StFlorence, SC 29501-3429(843) 669-4156Fax: (843) 664-2121Mon - Thu 8:00 to 5:00 Fri 8:00 to 2:00 PCMH: No

Harvey, Shannon OD Provider ID: TPVHARV19-02Gender: FemaleStokes Regional Eye Centers367 West Evans StreetFlorence, SC 29501(843) 669-4156Fax: (843) 664-2122Mon - Thu 8:00 to 5:00 Fri 8:00 to 2:00 PCMH: No

Hobbs, Steven OD Provider ID: TPVHOBB02-01Gender: MaleHarrington Vision Center II2151 West Evans Street, Suites G-HFlorence, SC 29501(843) 669-2020Fax: (843) 678-9200Mon - Fri 9:00 to 5:30 Sat 8:00 to 12:00 PCMH: No

Hobbs, Steven OD Provider ID: TPVHOBB02-02Gender: MaleEyewear Boutique Inc339 West Main StreetLake City, SC 29560(843) 374-2040Fax: (843) 374-5131Mon - Thu 9:00 to 5:00 Fri 9:00 to 12:00 PCMH: No

Lee, Jason OD Provider ID: TPVLEE57-01Gender: MalePalmetto Vision Center PC2138 West Palmetto Street, Palmetto Vision CenterFlorence, SC 29501(843) 662-1989Fax: (843) 667-8897www.palmettovisioncenter.comMon - Fri 9:00 to 5:00 PCMH: No

Lemon, Edward OD Provider ID: TPVLEMO02-08Gender: MaleBergelt Optometric LLC900 Us 52 HighwayLake City, SC 29560(843) 394-1777Fax: (843) 432-3189Mon, Thu - Fri 9:00 to 4:00 PCMH: No

Patrick, Sean OD Provider ID: TPVPATR12-01Gender: MaleClemson Eye Pa400 North Cashua DriveFlorence, SC 29501(864) 654-6706Fax: (864) 343-2074Mon - Thu 8:00 to 5:30 Fri 8:30 to 5:00 PCMH: No

Russell, Samuel OD Provider ID: TPVRUSS02-02Gender: MaleSamuel Russell240 West Evans StreetFlorence, SC 29501(843) 662-3278Fax: (843) 667-6090Mon - Fri 8:30 to 5:30 PCMH: No

Siegmund, Kelle OD Provider ID: TPVSIEG14-04Gender: FemaleBergelt Optometric LLC900 Us 52 HighwayLake City, SC 29560(843) 394-1774Fax: (843) 432-3189Mon, Thu - Fri 9:00 to 4:00 PCMH: No



37719585


Florence

Optometry - cont.

Wallace, Robert OD Provider ID: TPVWALL11-01Gender: MaleFlorence Primary Eyecare PC2014 South Irby Street, Florence Primary EyecareFlorence, SC 29505(843) 679-9005Fax: (843) 292-0403Mon - Thu 9:00 to 5:00 Fri 9:00 to 4:00 PCMH: No

Wallace, Christy OD Provider ID: TPVWALL14-01Gender: FemaleFlorence Primary Eyecare PC2014 South Irby Street, Florence Primary EyecareFlorence, SC 29505(843) 679-9005Fax: (843) 292-0403Mon - Thu 9:00 to 5:00 Fri 9:00 to 4:00 PCMH: No

Wilfong, Charles OD Provider ID: TPVWILF02-01Gender: MaleHarrington Vision Center181 West Cheves StreetFlorence, SC 29501(843) 662-0691Fax: (843) 678-9723Mon - Fri 9:00 to 5:00 PCMH: No

Zeplin, Vincent OD Provider ID: TPVZEPL01-19Gender: MaleBergelt Optometric LLC2672 David Mcleod BoulevardFlorence, SC 29501(843) 773-2758Fax: (843) 432-3189Mon - Tue, Thu 9:00 to 6:00 Fri 9:00 to 5:00 Sat 9:00 to 3:00 PCMH: No


Tagliareni, Jonathan DDS Provider ID: 2065941Gender: MaleMcleod Oral Maxillofacial Surgery101 William H Johnson St, Ste 440Florence, SC 29506-2769(843) 667-6000Fax: (843) 667-6240Mon - Fri 8:00 to 5:00 PCMH: No

Orthopaedic Surgery

Alan, Rodney MD Provider ID: 774060Gender: MaleMcleod Orthopaedic Associates800 E Cheves St, Ste 480Florence, SC 29506-2653(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No

Alan, Rodney MD Provider ID: 774060Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No

Anglen, Jeffrey MD Provider ID: 1501426Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 662-5233Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No

Chokshi, Rakesh MD Provider ID: 770203Gender: MaleMcleod Spine Center800 E Cheves St, Ste 480 BFlorence, SC 29506-2653(843) 432-1880Fax: (843) 432-1022Mon - Fri 8:00 to 5:00 PCMH: No

Chokshi, Rakesh MD Provider ID: 770203Gender: MalePee Dee Orthopaedic Associates101 Johns St, Ste 100Florence, SC 29506-2769(843) 662-5233Fax: (843) 678-9003Mon - Fri 9:00 to 5:00 PCMH: No

Chokshi, Rakesh MD Provider ID: 770203Gender: MalePee Dee Orthopaedic Associates1580 Freedom Blvd, Ste 1Florence, SC 29505(843) 662-5233Fax: (843) 678-9003Mon - Fri 9:00 to 5:00 PCMH: No

Denton, Patrick MD Provider ID: 776321Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 662-5233Fax: (843) 432-1930Mon - Fri 8:00 to 5:00 PCMH: No

Denton, Patrick MD Provider ID: 776321Gender: Male555 E Cheves StFlorence, SC 29506-2617(843) 777-2000PCMH: No



37719585


Florence


Deshmukh, Ashwin MD Provider ID: 1522563Gender: MaleMcleod Orthopaedic Associates800 E Cheves St, Ste 480Florence, SC 29506-2653(843) 777-7900Fax: (843) 777-7925Languages: French, SpanishMon - Fri 8:00 to 5:00 PCMH: No

Deshmukh, Ashwin MD Provider ID: 1522563Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 777-7925Languages: French, SpanishMon - Fri 8:00 to 5:00 PCMH: No

Dipaolo, Zachary MD Provider ID: 2006505Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 777-7925Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Edwards, Willie MD Provider ID: 770785Gender: MaleMcleod Spine Center800 E Cheves St, Ste 480 BFlorence, SC 29506-2653(843) 432-1880Fax: (843) 432-1022Mon - Fri 8:00 to 5:00 PCMH: No

Edwards, Willie MD Provider ID: 770785Gender: Male555 E Cheves StFlorence, SC 29506-2617(843) 777-2000PCMH: No

Feaker Jr, David DO Provider ID: 1990157Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 777-7925Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Gilpin, Albert MD Provider ID: 772765Gender: MaleMcleod Pediatric Orthopaedics800 E Cheves St, Ste 480 AFlorence, SC 29506-2653(843) 777-7337Fax: (843) 777-7340Mon - Fri 8:00 to 5:00 PCMH: No

Litts, Christopher MD Provider ID: 1226038Gender: MaleMcleod Orthopaedics800 E Cheves St, Ste 480Florence, SC 29506-2653(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No

Litts, Christopher MD Provider ID: 1226038Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No

Mezzanotte, Thomas MD Provider ID: 774382Gender: MaleMcleod Orthopaedic Associates800 E Cheves St, Ste 480Florence, SC 29506-2653(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No

Mezzanotte, Thomas MD Provider ID: 774382Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No

Militano, Ulises MD Provider ID: 1829367Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 777-7925Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

O'dell, Jason MD Provider ID: 771124Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 662-5233Fax: (843) 432-1930Mon - Fri 8:00 to 5:00 PCMH: No



37719585


Florence


Palutsis, Gregory MD Provider ID: 1577699Gender: MaleMusc Physicians Orthopaedics Floren1580 Freedom Blvd, Ste 100Florence, SC 29505-6074(843) 413-6835Fax: (843) 661-2194Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Pugh, Kevin MD Provider ID: 2013085Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No

Refvem, William MD Provider ID: 1177470Gender: MaleMusc Physicians Orthopaedics Floren1580 Freedom Blvd, Ste 100Florence, SC 29505(843) 413-6835Fax: (843) 661-2194Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Riverarosado, Emanuel MD Provider ID: 2090134Gender: MaleMusc Physicians Orthopaedics Floren805 Pamplico HwyFlorence, SC 29505-6047(843) 413-6835Fax: (843) 661-2194Mon - Fri 8:00 to 5:00 PCMH: No

Sparkman, Jeremy DO Provider ID: 2306069Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No

Thurman, Chad DO Provider ID: 1991908Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 777-7925Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Vanderhave, Kelly MD Provider ID: 1798808Gender: FemaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No

Watt, Nigel MD Provider ID: 771993Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 662-5233Fax: (843) 432-1930Mon - Fri 8:00 to 5:00 PCMH: No

Wilson, Addison MD Provider ID: 1829371Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 777-7925Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Woodbury, David MD Provider ID: 844576Gender: MaleMcleod Orthopaedics800 E Cheves St, Ste 480Florence, SC 29506-2653(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No

Woodbury, David MD Provider ID: 844576Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No

Pain Management

Johnson, Bruce MD Provider ID: 2028479Gender: MaleMcleod Spine Center800 E Cheves St, Ste 480-BFlorence, SC 29506-2650(843) 432-1880Fax: (843) 432-1022Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No



37719585


Florence

Pediatric Cardiology

Trant, Charles MD Provider ID: 774735Gender: MaleMcleod Pediatric Subspecialists101 Johns St, Ste 400Florence, SC 29506(843) 777-7300Fax: (843) 777-7311Mcleod Regional Medical CenterMon - Thu 8:00 to 5:30 Fri 8:00 to 12:00 PCMH: No


Tyson, Deidre MD Provider ID: 2160801Gender: FemaleMcleod Pediatric Subspecialists101 William H Johnson St, Ste 400Florence, SC 29506-2769(843) 777-5701Fax: (843) 777-7320Mon - Fri 8:00 to 5:00 PCMH: No

Pediatrics

Hartzog, Timothy MD Provider ID: 1710525Gender: MalePediatrix Medical Group Of South Ca555 East Cheves StFlorence, SC 29506(843) 661-6215Fax: (855) 527-5510Mon - Sun 12:00 to 12:00 PCMH: No

Tyson, Deidre MD Provider ID: 2160801Gender: FemaleMcleod Pediatric Subspecialists101 William H Johnson St, Ste 400Florence, SC 29506-2769(843) 777-5701Fax: (843) 777-7320Mon - Fri 8:00 to 5:00 PCMH: No

Physical Medicine & Rehabilitation

Alexander, Anthony MD Provider ID: 772633Gender: MaleMcleod Spine Center800 E Cheves St, Ste 480 BFlorence, SC 29506-2653(843) 432-1880Fax: (843) 432-1022Mon - Fri 8:00 to 5:00 PCMH: No

Chernev, Ivan MD Provider ID: 1185327Gender: MaleMusc Physicians Physical Medicine1925 Hoffmeyer RdFlorence, SC 29501-4011(843) 679-4214Fax: (843) 679-4217Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Coates-Wynn, Geoffrey MD Provider ID: 1174505Gender: MaleMusc Physicians Physical Medicine &1925 Hoffmeyer RdFlorence, SC 29501(843) 679-4214Fax: (843) 679-4217Mon - Fri 8:00 to 5:00 PCMH: No

Lorenz, William MD Provider ID: 772486Gender: MaleFlorence Rehabilitation Medicine900 E Cheves StFlorence, SC 29506(843) 661-4390Fax: (843) 629-7485Mon - Fri 8:00 to 5:00 PCMH: No


Conner, Gerald MD Provider ID: 772613Gender: MaleMcleod Plastic And Reconstructive101 Johns St, Ste 500Florence, SC 29506(843) 777-7010Mon - Fri 9:00 to 5:00 PCMH: No

Conner, Gerald MD Provider ID: 772613Gender: MaleMcleod Plastic And Reconstructive401 E Cheves StFlorence, SC 29506-2615(843) 777-7255Fax: (843) 679-6883Mon - Fri 9:00 to 5:00 PCMH: No

Eck, Dustin MD Provider ID: 1970101Gender: MaleMcleod Plastic And Reconstructive401 E Cheves St, Ste 302Florence, SC 29506-2615(843) 777-7255Fax: (843) 679-6883Mon - Fri 8:00 to 5:00 PCMH: No

Podiatry

Baker, Jordanna DPM Provider ID: 1352346Gender: FemalePalmetto State Surgical Podiatry As230 Cherokee RdFlorence, SC 29501(843) 790-3338Fax: (843) 731-9384Mon - Tue, Thu 8:00 to 5:00 Wed 8:00 to 7:00 Fri 8:00 to 1:00 PCMH: No



37719585


Florence

Podiatry - cont.

Butterworth, Michelle DPM Provider ID: 771536Gender: FemalePee Dee Foot Center258 N Ron Mcnair BlvdLake City, SC 29560(843) 355-9690Fax: (843) 355-9777Mon, Thu 10:00 to 12:00 Tue 10:00 to 5:00 Wed 3:00 to 5:00 Fri 9:00 to 5:00 PCMH: No

Deblasi, Lori DPM Provider ID: 1106158Gender: FemaleMusc Physicians Podiatry Florence805 Pamplico Hwy, Ste A320Florence, SC 29505(843) 674-1480Fax: (843) 674-6411Musc Health Florence Medical CenterMon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Fink, Jessica DPM Provider ID: 2164719Gender: FemalePhysicians Footcare709 W Evans StFlorence, SC 29501-3411(843) 665-4567Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Haire, Aaron DPM Provider ID: 1294123Gender: MalePhysicians Footcare709 W Evans StFlorence, SC 29501-3411(843) 665-4567Fax: (843) 665-4448Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Lee, Misty DPM Provider ID: 1366373Gender: FemalePalmetto State Surgical Podiatry As230 Cherokee RdFlorence, SC 29501(843) 790-3338Fax: (843) 731-9384Mon - Fri 8:30 to 5:00 PCMH: No

Mccann, Michael DPM Provider ID: 2354528Gender: MaleMusc Physicians Podiatry Florence M805 Pamplico HwyFlorence, SC 29505(843) 674-1480Fax: (843) 674-6411Mon - Fri 8:00 to 5:00 PCMH: No

Tyree, Christopher DPM Provider ID: 1727439Gender: MalePhysicians Footcare LLC709 W Evans StFlorence, SC 29501-3411(843) 665-4567Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Preventive Medicine

Leisy, Heather MD Provider ID: 1966106Gender: FemaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Languages: French, Gujarati, SpanishMon - Sat 8:00 to 8:00 PCMH: No

Psychiatry

Bauer, Robert MD Provider ID: 1963100Gender: Male360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Languages: SpanishMon - Fri 8:00 to 5:00 PCMH: No

Bauer, Robert MD Provider ID: 1963100Gender: MaleHopehealth Inc600 E Palmetto StFlorence, SC 29506-2851(843) 667-9414Fax: (843) 667-1362Languages: SpanishMon - Fri 7:30 to 5:00 PCMH: No

Modi, Nikunjkumar MD Provider ID: 1184881Gender: MaleHope Health Inc600 E Palmetto StFlorence, SC 29506(843) 667-9414Fax: (843) 667-4133Mon - Fri 7:30 to 5:00 PCMH: No

Reusche, Christian MD Provider ID: 1360847Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-3717Fax: (843) 777-5035Mon - Sun 12:00 to 12:00 PCMH: No



37719585


Florence

Psychiatry - cont.

Shissias, Charles MD Provider ID: 2197533Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Psychology

Adams, Leah PSYD Provider ID: 1768073Gender: FemaleWellspring Psychology Group1340 Celebration BlvdFlorence, SC 29501(843) 536-1180Fax: (843) 536-1116Mon 9:00 to 7:00 Tue - Thu 8:00 to 7:00 Fri 8:00 to 5:00 PCMH: No

Adams, Carol CP Provider ID: 2232041Gender: FemaleStewart Behavioral Health525 S Dargan StFlorence, SC 29506-2549(843) 407-5419Mon - Fri 9:00 to 7:00 PCMH: No

Allen, Dan PHD Provider ID: 1568831Gender: MaleHopehealth Inc600 E Palmetto StFlorence, SC 29506(843) 667-9414Fax: (843) 667-1362Mon - Fri 7:30 to 5:00 PCMH: No

Anderson, Jason PSYD Provider ID: 1037190Gender: MaleWellspring Psychology Group1340 Celebration Blvd, Unit AFlorence, SC 29501-5585(843) 536-1180Fax: (843) 536-1116Mon - Tue 8:00 to 7:00 Wed - Thu 8:00 to 5:00 PCMH: No

Hughes, Farrah PHD Provider ID: 1557319Gender: FemaleHopehealth Inc360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Fri 8:00 to 5:00 PCMH: No

Hughes, Farrah PHD Provider ID: 1557319Gender: FemaleHopehealth Inc600 E Palmetto StFlorence, SC 29506(843) 667-9414Fax: (843) 667-1362Mon - Fri 7:30 to 5:00 PCMH: No

Hunter, William PSYD Provider ID: 1816278Gender: MaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Languages: Gujarati, Hindi, SpanishMon - Sat 8:00 to 8:00 PCMH: No

Jackel, Lisa PHD Provider ID: 1240277Gender: FemalePee Dee Professional Psychological514 W Palmetto StFlorence, SC 29501(843) 319-2310Fax: (855) 328-1383Mon - Fri 9:00 to 6:00 PCMH: No

Pritchard-Boone, Andrea PHD

Provider ID: 933784Gender: FemaleSeasona Psychology Associates LLC314 S Mcqueen StFlorence, SC 29501-4723(843) 407-4440Fax: (843) 407-4461Mon 9:00 to 7:30 Tue - Thu 8:00 to 7:30 Fri 8:30 to 2:00 PCMH: No

Sanders, Alexis PHD Provider ID: 1241999Gender: FemaleSeasons Psychology Associates LLC314 S Mcqueen StFlorence, SC 29501(843) 407-4440Fax: (843) 407-4461Mon - Fri 9:00 to 5:00 PCMH: No

Sanders, Alexis PHD Provider ID: 1985068Gender: FemaleBask Psychological Services LLC2231 W Palmetto St, Ste 201Florence, SC 29501-4079(843) 621-0263Fax: (843) 536-8522Mon, Wed 8:00 to 1:00 Tue, Thu 8:00 to 6:00 Fri 8:00 to 12:00 PCMH: No



37719585


Florence

Psychology - cont.

Scearce, Edward PSYD Provider ID: 1030550Gender: MaleWellspring Psychology Group1340 Celebration Blvd, Unit AFlorence, SC 29501-5585(843) 536-1180Fax: (843) 536-1116Mon - Tue 8:00 to 7:00 Wed - Thu 8:00 to 5:00 PCMH: No

Steele, Patrick CP Provider ID: 1786089Gender: MaleStewart Behavioral Health2704 S Irby StFlorence, SC 29505-3434(843) 407-5419Fax: (843) 407-7274Tue 8:30 to 5:30 Wed 8:30 to 5:00 Thu - Fri 8:00 to 7:00 PCMH: No

Pulmonary Disease

Al Hourany, Ramzy MD Provider ID: 812744Gender: MaleMusc Physicians Pulmonary Florence805 Pamplico Hwy, Ste B300Florence, SC 29505-6081(843) 673-7529Fax: (843) 673-7532Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Chamberlain, Brooke NP Provider ID: 1849539Gender: FemaleMusc Physicians Pulmonary Florence805 Pamplico Hwy, Ste B300Florence, SC 29505(843) 673-7529Fax: (843) 673-7632Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Elya, Marwan MD Provider ID: 770756Gender: FemaleCarolina Healthcare555 E Cheves StFlorence, SC 29506-2617(843) 777-5622Fax: (843) 413-3197Languages: FrenchMon - Fri 8:30 to 5:30 PCMH: No

Hazelwood, William MD Provider ID: 770455Gender: MaleCbo Mrmc Hospitalists555 E Cheves St, Ste 377Florence, SC 29506-2617(843) 777-2000Mon - Fri 9:00 to 5:00 PCMH: No

Jona, Vinod MD Provider ID: 770925Gender: MaleMcleod Pulmonary And Critical Care401 E Cheves St, Ste 202Florence, SC 29506(843) 777-7863Fax: (843) 777-7873Languages: HindiMon - Fri 8:30 to 5:30 PCMH: No

Jona, Vinod MD Provider ID: 770926Gender: MaleCarolina Health Care555 E Cheves StFlorence, SC 29506-2617(843) 777-2000Fax: (843) 413-3193Languages: HindiMon - Fri 9:00 to 5:00 PCMH: No

Jona, Vinod MD Provider ID: 770927Gender: MalePee Dee Cardiology Associates101 Johns St, Ste 600Florence, SC 29506(843) 667-1891Fax: (843) 665-2516Mon - Fri 8:00 to 5:00 PCMH: No

Seif, Fadi MD Provider ID: 896821Gender: MaleMusc Physicians Pulmonary Florence805 Pamplico Hwy, B300Florence, SC 29505(843) 673-7529Fax: (843) 673-7532Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Zebian, Rami MD Provider ID: 896824Gender: MaleMusc Physicians Pulmonary Florence805 Pamplico Hwy, Ste B 300Florence, SC 29505-6047(843) 673-7529Fax: (843) 673-7532Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No



37719585


Florence

Pulmonary Disease - cont.

Zein, Mohamad MD Provider ID: 1170778Gender: MaleMusc Physicians Pulmonary Florence805 Pamplico Hwy, Ste B300Florence, SC 29505-6081(843) 673-7529Fax: (843) 673-7532Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Radiation Oncology

Clyburn-Ipock, Virginia MD Provider ID: 1054097Gender: Female401 East Cheves StreetFlorence, SC 29506(843) 777-2014PCMH: No

Grubb, Larry MD Provider ID: 769942Gender: MaleT Rhett Spencer Md Pa555 E Cheves StFlorence, SC 29506(843) 777-2014Fax: (843) 777-2019Mon - Fri 8:00 to 5:00 PCMH: No

Spencer, Thomas MD Provider ID: 773278Gender: MaleT Rhett Spencer Md Pa555 E Cheves StFlorence, SC 29506(843) 777-2015Fax: (843) 777-2019Mon - Fri 8:00 to 5:00 PCMH: No

Spencer, Thomas MD Provider ID: 773278Gender: MaleT Rhett Spencer Md Pa805 Pamplico HwyFlorence, SC 29505(843) 674-2470Fax: (843) 674-2479Mon - Fri 8:00 to 5:00 PCMH: No

Wooten, Charles MD Provider ID: 1849591Gender: MaleMusc Physicians Radiation Oncology805 Pamplico Hwy, Ste A315Florence, SC 29505-6056(843) 674-6460Fax: (843) 674-2519Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Radiology - Interventional &

Vascular

Cranny, Jennifer MD Provider ID: 564790Gender: FemalePalmetto Primary Care Physicians148 Sauls StLake City, SC 29560-2631(843) 374-3621Fax: (843) 374-3624Mon - Fri 7:30 to 5:00 PCMH: No

Rheumatology

Docherty Jr, Jon MD Provider ID: 1968960Gender: MaleHopehealth Inc600 E Palmetto StFlorence, SC 29506-2851(843) 667-9414Fax: (843) 667-1362Mon - Fri 7:30 to 5:00 PCMH: No

Keenan, Robert MD Provider ID: 2360059Gender: MaleArticularis Healthcare Group Inc.800 E Cheves St, Ste 280Florence, SC 29506-2652(843) 973-8770Fax: (843) 428-2490Mon - Thu 8:00 to 5:00 PCMH: No

Senseney, Anna MD Provider ID: 1500954Gender: FemaleMcleod Primary Care Associates800 E Cheves St, Ste 200Florence, SC 29506-2651(843) 662-1502Fax: (843) 678-3611Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Turner, Robert MD Provider ID: 776362Gender: MaleCarolina Health Care506 E Cheves St, Ste 202Florence, SC 29506(843) 777-7000Fax: (843) 413-3199Mon - Fri 8:30 to 5:30 PCMH: No

Turner III, Robert MD Provider ID: 1713219Gender: MaleHopehealth Inc600 E Palmetto StFlorence, SC 29506-2851(843) 667-9414Fax: (843) 667-1362Mon - Fri 8:00 to 5:00 PCMH: No



37719585


Florence

Rheumatology - cont.

Turner III, Robert MD Provider ID: 1713219Gender: MaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Fri 8:00 to 8:00 PCMH: No

Sports Medicine

Denton, Patrick MD Provider ID: 776321Gender: Male555 E Cheves StFlorence, SC 29506-2617(843) 777-2000PCMH: No

Denton, Patrick MD Provider ID: 776321Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 662-5233Fax: (843) 432-1930Mon - Fri 8:00 to 5:00 PCMH: No

Runyan, Chadley MD Provider ID: 1692337Gender: MaleFlorence Neurosurgery And Spine805 Pamplico HwyFlorence, SC 29505-6047(843) 292-0600Fax: (843) 292-8444Mon - Thu 8:00 to 5:00 Fri 8:00 to 2:00 PCMH: No

Runyan, Chadley MD Provider ID: 1692337Gender: MaleFlorence Neurosurgery And Spine1204 E Cheves StFlorence, SC 29506-2710(843) 673-0122Mon - Thu 8:00 to 5:00 Fri 8:00 to 2:00 PCMH: No

Runyan, Chadley MD Provider ID: 1692337Gender: MaleFlorence Neurosurgery And Spine555 E Cheves StFlorence, SC 29506-2617(843) 292-0600Fax: (843) 292-8444Mon - Thu 8:00 to 5:00 Fri 8:00 to 2:00 PCMH: No

Runyan, Chadley MD Provider ID: 776083Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 432-1930Mon - Fri 8:00 to 5:00 PCMH: No

Woodbury, David MD Provider ID: 844576Gender: MaleMcleod Orthopaedics800 E Cheves St, Ste 480Florence, SC 29506-2653(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No

Woodbury, David MD Provider ID: 844576Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No


Cunningham, Christopher MD

Provider ID: 773957Gender: MaleMcleod Vascular Associates101 S Ravenel St, Ste 230Florence, SC 29506-2624(803) 777-7043Fax: (803) 777-7041Mon - Fri 8:00 to 5:00 PCMH: No

Jones, Gregory MD Provider ID: 1210237Gender: MaleMusc Physicians Cardiovascular Surg805 Pamplico Hwy, Ste B-300Florence, SC 29505(843) 676-2760Fax: (843) 676-2762Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Sims, David MD Provider ID: 2041701Gender: MaleMcleod Cardiothoracic Surgical Asso101 S Ravenel St, Ste 270Florence, SC 29506-2624(843) 777-7020Mon - Fri 8:00 to 5:00 PCMH: No



37719585


Florence

Thoracic & Cardiovascular Surgery -

cont.

Smith III, Charlie MD Provider ID: 2354543Gender: MaleMusc Physicians Cardiovascular Surg805 Pamplico Hwy, Ste B300Florence, SC 29505(843) 676-2760Fax: (843) 676-2762Mon - Fri 8:00 to 5:00 PCMH: No

Thoracic Surgery

Carmichael, Michael MD Provider ID: 2179723Gender: MaleMcleod Cardiothoracic Surgical Asso101 S Ravenel St, Ste 270Florence, SC 29506-2624(843) 777-7020Fax: (843) 664-9545Mon - Fri 8:00 to 5:00 PCMH: No

Holley Jr, Charles MD Provider ID: 1525834Gender: MaleMcleod Cardiothoracic Surgical Asso101 S Ravenel St, Ste 270Florence, SC 29506-2624(843) 777-7020Fax: (843) 664-9545Mon - Thu 8:00 to 5:00 Fri 8:00 to 2:00 PCMH: No

Huber, Stephen MD Provider ID: 957937Gender: MaleMcloed Cardiothoracic Surgical Asso101 S Ravenel St, Ste 270Florence, SC 29506-2624(843) 777-7020Fax: (843) 664-9545Mon - Fri 8:00 to 5:00 PCMH: No

Messier Jr, Robert MD Provider ID: 1501424Gender: MaleMcleod Cardiothoracic Surgical Asso101 S Ravenel St, Ste 270Florence, SC 29506-2624(843) 777-7020Fax: (843) 664-9545Mon - Fri 8:30 to 4:30 PCMH: No

Perry, John MD Provider ID: 1570780Gender: MaleMusc Physicians Cardiovascular Surg805 Pamplico Hwy, Ste B300Florence, SC 29505-6047(843) 676-2760Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Urology

Bossinger, Steven MD Provider ID: 1714313Gender: MaleMcleod Urology Associates800 E Cheves St, Ste 350Florence, SC 29506-2769(843) 777-7555Fax: (843) 777-7563Mon - Fri 8:00 to 5:00 PCMH: No

Chadbourne, David MD Provider ID: 2094789Gender: MaleMcleod Urology Associates800 E Cheves St, Ste 350Florence, SC 29506-2649(843) 777-7555Fax: (843) 777-7563Mon - Thu 8:00 to 5:00 PCMH: No

Choi, Gwen MD Provider ID: 2180779Gender: FemaleMcleod Urology Associates800 E Cheves St, Ste 350Florence, SC 29506-2649(843) 777-7555Fax: (843) 777-7563Mon - Fri 8:00 to 5:00 PCMH: No

Evans, Brian MD Provider ID: 1182062Gender: MaleAdvanced Urology Of The Pee Dee LLC309 W Pine StFlorence, SC 29501(843) 472-5255Fax: (843) 472-5179Mon - Thu 8:30 to 5:00 Fri 8:30 to 2:00 PCMH: No

Fukuda, Christopher MD Provider ID: 1190179Gender: MaleMcleod Urology Associates800 E Cheves St, Ste 350Florence, SC 29506(843) 777-7555Fax: (843) 777-7563Mon - Fri 8:00 to 5:00 PCMH: No

Glinski, Ronald MD Provider ID: 1812767Gender: MaleMcleod Urology Associates800 E Cheves St, Ste 350Florence, SC 29506-2649(843) 777-7555Fax: (843) 777-7563Mon - Fri 8:00 to 5:00 PCMH: No



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Florence

Urology - cont.

Horchak, Alex MD Provider ID: 1558423Gender: MaleMcleod Urology Assoc800 E Cheves St, Ste 350Florence, SC 29506-2649(843) 777-7555Fax: (843) 777-7563Mon - Fri 8:00 to 5:00 PCMH: No

Hsia, Michael MD Provider ID: 896373Gender: MaleMusc Physicians Urology Florence Me805 Pamplico Hwy, Ste B-310Florence, SC 29505-6068(843) 673-7525Fax: (843) 673-7528Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Maloney, Kelly MD Provider ID: 2027873Gender: FemaleMcleod Urology Associates Florence800 E Cheves St, Ste 350Florence, SC 29506-2649(843) 777-7555Fax: (843) 777-7563Mon - Fri 8:00 to 5:00 PCMH: No

Moses, Timothy MD Provider ID: 1177408Gender: MaleMusc Physicians Urology Florence Me805 Pamplico Hwy, Ste B-310Florence, SC 29505(843) 673-7525Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

O'kelly, James MD Provider ID: 495328Gender: MaleMcleod Urology Associates800 E Cheves St, Ste 350Florence, SC 29506-2649(843) 777-7555Fax: (843) 777-7563Mon - Fri 8:00 to 5:00 PCMH: No

Okelly, Peter MD Provider ID: 1563965Gender: MaleGenesis Health Care Inc. Florence1523 Heritage LnFlorence, SC 29505-3197(843) 673-9992Mon - Fri 8:00 to 5:00 PCMH: No

Rabon, Larry MD Provider ID: 769866Gender: MaleLarry D Rabon Md306 S Mcqueen StFlorence, SC 29501(843) 665-2200Mon - Tue 7:30 to 5:00 Wed - Fri 8:30 to 5:00 PCMH: No

Rabon, Larry MD Provider ID: 959019Gender: MaleMusc Physicians Urology Associates1594 Freedom Blvd, Ste C203Florence, SC 29505(843) 674-1670Fax: (843) 674-4707Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Rogus, Bernard MD Provider ID: 1598350Gender: MaleMcleod Urology Associates800 E Cheves St, Ste 350Florence, SC 29506-2649(843) 777-7555Fax: (843) 777-7563Mon - Fri 8:00 to 5:00 PCMH: No

Salama, George MD Provider ID: 2318454Gender: MaleMcleod Urology Associates800 E Cheves St, Ste 350Florence, SC 29506-2649(843) 777-7555Fax: (843) 777-7563Mon - Fri 8:00 to 5:00 PCMH: No

Vascular Surgery

Piccolo, Carmen DO Provider ID: 1148987Gender: MaleMcleod Vascular Associates101 S Ravenel St, Ste 230Florence, SC 29506-2624(803) 777-7043Fax: (803) 777-7041Mon - Fri 8:00 to 5:00 PCMH: No

Rzucidlo, Eva MD Provider ID: 1164665Gender: FemaleMcleod Vascular Associates101 S Ravenel St, Ste 230Florence, SC 29506-2624(803) 777-7043Fax: (803) 777-7041Mon - Fri 8:00 to 5:00 PCMH: No



37719585


Florence

Vascular Surgery - cont.

Stonerock, Charles MD Provider ID: 815477Gender: MaleMusc Physicians Cardiovascular Surg805 Pamplico Hwy, Ste B300Florence, SC 29505-6019(843) 676-2760Fax: (843) 676-2762Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Winkler, Gabor MD Provider ID: 945371Gender: MaleMcleod Vascular Associates101 S Ravenel St, Ste 230Florence, SC 29506-2624(843) 777-7043Fax: (843) 777-7041Languages: German, Hungarian, RussianMon - Fri 8:00 to 5:00 PCMH: No



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Horry


Czepowicz, Violetta MD Provider ID: 2022803Gender: FemaleCoastal Carolina Primary Care LLC809 82nd ParkwayMyrtle Beach, SC 29572(843) 291-7182Fax: (843) 291-7182Mon - Fri 8:00 to 5:00 PCMH: No


Bennett, Gregory DO Provider ID: 1459698Gender: MaleCharleston ENT Associates4835 Hwy 17 N, Ste BMurrells Inlet, SC 29576(843) 766-7103Mon - Fri 8:00 to 5:00 PCMH: No

Douglas, Danny MD Provider ID: 770019Gender: Male3980 Highway 9 E, Ste 260Little River, SC 29566-8167(843) 399-9033Fax: (843) 399-9051PCMH: No

Douglas, Danny MD Provider ID: 770019Gender: Male5046 Highway 17 Byp S, Ste 105Myrtle Beach, SC 29588-4503(843) 293-5000Fax: (843) 293-4748PCMH: No

Moyer, Joseph MD Provider ID: 770623Gender: MaleAllergy Asthma And Sinus Center PC3980 Highway 9 E, Ste 260Little River, SC 29566-2606(843) 399-9033Fax: (843) 399-9051Mon - Fri 9:00 to 5:00 PCMH: No

Moyer, Joseph MD Provider ID: 770623Gender: MaleAllergy Asthma And Sinus Center PC5046 Highway 17 Byp S, Ste 105Myrtle Beach, SC 29588-2606(843) 293-5000Fax: (843) 293-4748Mon - Fri 9:00 to 5:00 PCMH: No

Murphy, Thomas MD Provider ID: 1344683Gender: MaleCharleston ENT Associates - M4835 Highway 17, Ste BMurrells Inlet, SC 29576(843) 766-7103Roper HospitalMon - Fri 8:00 to 5:00 PCMH: No


Goebel, Jason MD Provider ID: 1040969Gender: Male920 Doug White Dr, Ste 510Myrtle Beach, SC 29572(843) 497-7772Grand Strand Regional Medical CenterPCMH: No

Goebel, Jason MD Provider ID: 1040969Gender: MaleGrand Strand Surgical Specialists933 Medical CirMyrtle Beach, SC 29572-4116(843) 497-7772Fax: (843) 497-7627Grand Strand Regional Medical CenterMon - Thu 9:00 to 5:00 Fri 9:00 to 4:00 PCMH: No

Goebel, Jason MD Provider ID: 1040969Gender: Male809 82nd PkwyMyrtle Beach, SC 29572-4607(843) 692-1000Grand Strand Regional Medical CenterPCMH: No

Cardiology

Everman, Anne MD Provider ID: 771204Gender: FemaleMcleod Cardiology Associates Myrtle107 Mcleod Health Blvd, Ste 202Myrtle Beach, SC 29579-4477(843) 839-1201Fax: (843) 839-1202Grand Strand Regional Medical CenterMcleod Loris Seacoast HoMon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Goodroe, Randall MD Provider ID: 874319Gender: MaleGrand Strand Surgical Specialists199 Vlg Ctr Blvd, Ste 100Myrtle Beach, SC 29579-3589(843) 497-7772Fax: (843) 236-1500Grand Strand Regional Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Goodroe, Randall MD Provider ID: 874319Gender: MaleGrand Strand Surgical Specialists8210 Devon CtMyrtle Beach, SC 29572-4178(843) 497-7772Fax: (843) 848-7530Grand Strand Regional Medical CenterMon - Thu 9:00 to 5:00 Fri 9:00 to 4:00 PCMH: No



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Cardiology - cont.

Hicks, John MD Provider ID: 1044597Gender: MaleVeritas Cardiovascular And Internal5046 Highway 17 Byp S, Ste 100Myrtle Beach, SC 29588-4503(843) 293-5100Fax: (843) 293-5101Mon - Thu 9:00 to 5:00 Fri 9:00 to 2:00 PCMH: No

Jackson, William MD Provider ID: 775644Gender: MaleMcleod Cardiology Associates Myrtle107 Mcleod Health Blvd, Ste 202Myrtle Beach, SC 29579-4477(843) 839-1201Fax: (843) 839-1202Grand Strand Regional Medical CenterMon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Jebaily, Nicholas MD Provider ID: 2181703Gender: MaleMcleod Cardiology Associates Loris107 Mcleod Health Blvd, Ste 202Myrtle Beach, SC 29579-4477(843) 839-1201Fax: (843) 839-1202Mon - Fri 8:00 to 5:00 PCMH: No

Karavan, Mark MD Provider ID: 204384Gender: Male920 Doug White DrMyrtle Beach, SC 29572(843) 497-7772Grand Strand Regional Medical CenterPCMH: No

Kontos, Jimmy MD Provider ID: 875715Gender: Male920 Doug White Dr, Ste 510Myrtle Beach, SC 29572(843) 497-7772Grand Strand Regional Medical CenterPCMH: No

Kontos, Jimmy MD Provider ID: 875715Gender: MaleGrand Strand Gme- Cardiology199 Vlg Ctr Blvd, Ste 100Myrtle Beach, SC 29579-3589(843) 497-6348Fax: (843) 236-1500Grand Strand Regional Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Leask, Gavin MD Provider ID: 773867Gender: Male3655 Mitchell StLoris, SC 29569-2827(843) 716-7000PCMH: No

Leask, Gavin MD Provider ID: 773867Gender: MalePee Dee Cardiology Associates3485 Mitchell StLoris, SC 29569(843) 756-7029Fax: (843) 756-7033Mon - Fri 9:00 to 5:00 PCMH: No

Leask, Gavin MD Provider ID: 773867Gender: MalePee Dee Cardiology Associates3980 Highway 9 E, Ste 220Little River, SC 29566(843) 390-0877Fax: (843) 390-0881Mon - Fri 8:00 to 5:00 PCMH: No

Pande, Amit MD Provider ID: 773707Gender: MalePee Dee Cardiology Associates3485 Mitchell StLoris, SC 29569(843) 756-7029Fax: (843) 756-7033Languages: Hindi, MarathiMon - Fri 9:00 to 5:00 PCMH: No

Pande, Amit MD Provider ID: 773707Gender: MalePee Dee Cardiology Associates3980 Highway 9 E, Ste 220Little River, SC 29566(843) 390-0877Fax: (843) 390-0881Languages: Hindi, MarathiMon - Fri 8:00 to 5:00 PCMH: No

Sood, Aditya MD Provider ID: 2322773Gender: MaleCmc Cardiac Care2376 Cypress Cir, Ste 102Conway, SC 29526(843) 347-8953Fax: (843) 347-0226Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Truluck, David MD Provider ID: 877109Gender: Male920 Doug White DrMyrtle Beach, SC 29572(843) 977-7772Grand Strand Regional Medical CenterPCMH: No



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Cardiology - cont.

Watson, Jerry MD Provider ID: 1016722Gender: MaleGrand Strand Gme Cardiology199 Village Center Blvd, Ste 100Myrtle Beach, SC 29579-3589(843) 497-6348Fax: (844) 861-1503Grand Strand Regional Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Watson, Jerry MD Provider ID: 1016722Gender: MaleGrand Strand Gme Cardiology809 82nd PkwyMyrtle Beach, SC 29572-4607(843) 692-1000Grand Strand Regional Medical CenterPCMH: No

Watson, Jerry MD Provider ID: 1016722Gender: Male920 Doug White Dr, Ste 510Myrtle Beach, SC 29572(843) 497-7772Grand Strand Regional Medical CenterPCMH: No


Toole, John MD Provider ID: 1191104Gender: MaleRoper St. Francis Physician Partner4630 Hwy 17 NMurrells Inlet, SC 29576-5016(843) 720-8490Fax: (843) 606-8063Mon - Fri 9:00 to 5:00 PCMH: No

Chiropractic

Cline, Matthew DC Provider ID: 775347Gender: MaleAdvantage Health Center816 N Main StAynor, SC 29511(843) 358-8003Fax: (843) 358-8004Tue 1:00 to 7:00 Thu 7:00 to 9:00 PCMH: No

Edwards II, Ira DC Provider ID: 1604440Gender: MalePalmetto Wellness And Injury Center1601 N Oak St, Ste 403Myrtle Beach, SC 29577-3579(843) 232-7080Fax: (843) 232-7083Mon - Thu 8:30 to 5:30 Fri 8:30 to 1:00 PCMH: No

Edwards II, Ira DC Provider ID: 1604440Gender: MalePalmetto Wellness And Injury Center9250 Highway 17 Byp, Ste B1Murrells Inlt, SC 29576-6619(843) 668-2999Mon - Thu 8:30 to 5:30 Fri 8:30 to 1:00 PCMH: No

Evans, Jeffrey DC Provider ID: 770879Gender: MaleWaccamaw Chiro And Wellness658 Wachesaw RdMurrells Inlet, SC 29576(843) 357-9617Fax: (843) 357-9639Mon - Fri 9:00 to 5:00 PCMH: No

Evans, John DC Provider ID: 771908Gender: MaleWaccamaw Chiropractic Wellness Cen658 Wachesaw RdMurrells Inlet, SC 29576(843) 357-9617Fax: (843) 357-9639Mon - Fri 9:00 to 5:00 PCMH: No

Hemingway, Jenica DC Provider ID: 1720914Gender: FemaleHemingway Family Chiropractic LLC1293 Professional Dr, Ste 102aMyrtle Beach, SC 29577(849) 250-3876Fax: (843) 839-9831Mon - Thu, Sat 7:30 to 5:00 Fri 7:30 to 2:00 PCMH: No

Martin, Patrick DC Provider ID: 773682Gender: MalePC Martin Chiropractic Inc400 Highway 17 NMyrtle Beach, SC 29575(843) 238-5900Fax: (843) 238-5910Mon - Fri 9:00 to 5:00 PCMH: No

Pellicani, Ronald DC Provider ID: 773980Gender: MaleCarolina Forest Chiropractic568 George Bishop PkwyMyrtle Beach, SC 29579(843) 236-2200Mon - Fri 9:00 to 5:00 PCMH: No



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Chiropractic - cont.

Walter, Kevin DC Provider ID: 776563Gender: MaleWalter Kevin M513 Highway 17 NNorth Myrtle Beach, SC 29582-2903(843) 280-7000Fax: (843) 280-7001Mon - Fri 9:00 to 5:00 PCMH: No


Firilas, Anthony MD Provider ID: 1190761Gender: MaleRoper St Francis Physician Partners4630 Highway 17Murrells Inlet, SC 29576-5016(843) 958-1281Fax: (843) 958-1278Mon - Fri 9:00 to 5:00 PCMH: No

Lagares-Garcia, Jorge MD Provider ID: 1190920Gender: MaleRoper St Francis Physician Partner4630 Highway 17Murrells Inlet, SC 29576-5016(843) 958-1281Fax: (843) 958-1278Mon - Fri 9:00 to 5:00 PCMH: No

Dermatology

Glover, Mary MD Provider ID: 1056575Gender: FemaleGrand Strand Dermatology3001 Newcastle LoopMyrtle Beach, SC 29588-4502(843) 215-1100Fax: (843) 215-1211Mon - Thu 8:00 to 4:00 Fri 8:00 to 12:00 PCMH: No

Glover, Mary MD Provider ID: 1056575Gender: FemaleGrand Strand Dermatology933 Medical CirMyrtle Beach, SC 29572-4116(843) 215-1100Fax: (843) 215-1211Mon - Fri 9:00 to 5:00 PCMH: No

Jones, Nathan MD Provider ID: 773747Gender: MaleGrand Strand Dermatology933 Medical CirMyrtle Beach, SC 29572-4116(843) 215-1100Fax: (843) 215-1211Mon - Fri 9:00 to 5:00 PCMH: No

Jones, Nathan MD Provider ID: 773747Gender: MaleGrand Strand Dermotology LLC3001 Newcastle LoopMyrtle Beach, SC 29588(843) 215-1100Fax: (843) 215-1211Mon - Thu 8:00 to 4:00 Fri 8:00 to 12:00 PCMH: No

Purvis, Robert MD Provider ID: 770929Gender: MaleGrand Strand Dermatology933 Medical CirMyrtle Beach, SC 29572-4116(843) 215-1100Fax: (843) 215-1211Mon - Fri 9:00 to 5:00 PCMH: No

Skvarka, Christopher MD Provider ID: 771968Gender: MaleGrand Strand Dermatology933 Medical CirMyrtle Beach, SC 29572-4116(843) 215-1100Fax: (843) 215-1211Mon - Fri 9:00 to 5:00 PCMH: No

Skvarka, Christopher MD Provider ID: 771968Gender: MaleGrand Strand Dermatology LLC3001 Newcastle LoopMyrtle Beach, SC 29588(843) 215-1100Fax: (843) 215-1211Mon - Fri 8:00 to 3:30 PCMH: No

Ear Nose & Throat

Bondy, Peter MD Provider ID: 973022Gender: MaleCmc ENT808 Farrar DrConway, SC 29526-8747(843) 347-7300Fax: (843) 347-8459Languages: SpanishMon - Fri 8:00 to 5:00 PCMH: No

Coastal Carolina Otolaryngology

Provider ID: 7734851021 Cipriana Dr, Ste 220Myrtle Beach, SC 29572-4116(843) 449-6449Fax: (843) 449-1069Mon - Fri 8:00 to 5:00 PCMH: No



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Ear Nose & Throat - cont.

Coastal Carolina Otolaryngology

Provider ID: 7734851120 Glenns Bay RdMyrtle Beach, SC 29575(843) 215-1068Fax: (843) 215-1074Mon - Thu 8:00 to 5:00 Fri 9:00 to 5:00 PCMH: No

Jordan, Robert MD Provider ID: 773964Gender: MaleCharleston ENT Associates4835 Highway 17, Ste BMurrells Inlet, SC 29576(843) 766-7103Mon - Fri 8:00 to 5:00 PCMH: No

Lee, Jessica MD Provider ID: 1293882Gender: FemaleCharleston ENT Associates4835 Highway 17, Ste BMurrells Inlet, SC 29576(843) 766-7103Mon - Fri 8:00 to 5:00 PCMH: No

Norton, Julien MD Provider ID: 1467826Gender: MaleCharleston ENT Associates4835 Highway 17 North, Ste BMurrells Inlet, SC 29576(843) 766-7103Mon - Fri 8:00 to 5:00 PCMH: No

Novis, Sarah MD Provider ID: 1464858Gender: FemaleMcleod ENT Seacoast3980 Hwy 9 E, Ste 340Little River, SC 29566-8165(843) 366-3040Fax: (843) 366-3041Mon - Fri 8:00 to 5:00 PCMH: No

Osman, Richard MD Provider ID: 772242Gender: Male1120 Glenns Bay Rd, Ste 117Surfside Beach, SC 29575-4757(843) 650-1003Fax: (843) 215-1074Grande Dunes Surgery CenterPCMH: No

Osman, Richard MD Provider ID: 772242Gender: MaleCoastal Carolina Otolaryngology Ass1021 Cipriana Dr, Ste 220Myrtle Beach, SC 29572-4116(843) 449-6449Fax: (843) 449-1069Grande Dunes Surgery CenterMon - Thu 8:00 to 5:00 Fri 9:00 to 5:00 PCMH: No

Rosner, Daniel MD Provider ID: 770733Gender: MaleCoastal Carolina Otolaryngology Ass1021 Cipriana Dr, Ste 220Myrtle Beach, SC 29572-4116(843) 449-6449Fax: (843) 449-1069Grande Dunes Surgery CenterMon - Thu 8:00 to 5:00 Fri 9:00 to 5:00 PCMH: No

Rosner, Daniel MD Provider ID: 770733Gender: Male1120 Glenns Bay Rd, Ste 117Surfside Beach, SC 29575-4757(843) 215-1068Fax: (843) 215-1074Grande Dunes Surgery CenterPCMH: No

Sutton, Darin MD Provider ID: 916823Gender: MaleCmc ENT808 Farrar DrConway, SC 29526-8747(843) 347-7300Fax: (843) 347-8459Languages: SpanishMon - Fri 8:30 to 5:30 PCMH: No


Haenel, Louis DO Provider ID: 1190815Roper St Francis Physician Partners4630 Highway 17Murrells Inlet, SC 29576-5016(843) 724-2011Fax: (840) 606-7991Mon - Fri 9:00 to 5:00 PCMH: No

Kleess, Lauren MD Provider ID: 2206753Gender: FemaleCmc Endocrinology2376 Cypress Cir, Ste 202Conway, SC 29526-8994(843) 234-9700Fax: (843) 234-6896Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:00 PCMH: No

Nicol, Philip MD Provider ID: 772896Gender: MaleGeorgetown Physician Associates LLC11891 Plaza DrMurrells Inlet, SC 29576(843) 353-0288Fax: (843) 357-9770Mon - Fri 8:00 to 4:30 PCMH: No



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Family Practice

Bleyer, Peter MD Provider ID: 1313831Gender: MaleHealogics Specialty Physicians Of S300 Singleton Ridge RdConway, SC 29526-9142(843) 347-8347Mon - Fri 8:00 to 5:00 PCMH: No

Howard, Thomas MD Provider ID: 774387Gender: MaleSouth Strand Internists And Urgent1945 Glenns Bay RdMyrtle Beach, SC 29575-4833(843) 650-4006Fax: (843) 650-4019Mon - Fri 8:00 to 5:00 PCMH: No

Solheim, Vesna MD Provider ID: 1173942Gender: FemaleSolheim Family Practice12082 Highway 17 Byp, Unit BMurrells Inlet, SC 29576-9350(843) 900-0777Fax: (843) 900-0780Mon - Fri 9:00 to 5:00 PCMH: No

Stranckmeyer, Shawn MD Provider ID: 1547459Gender: MaleElite Pain Management4237 River Hills Dr, Ste 170Little River, SC 29566-6446(843) 273-0376Fax: (843) 273-4516Mon - Fri 9:00 to 5:30 PCMH: No

Stranckmeyer, Shawn MD Provider ID: 1547459Gender: MaleElite Pain Management LLC8212 Devon CtMyrtle Beach, SC 29572-4178(843) 273-0376Fax: (843) 273-4516Mon - Fri 8:30 to 5:00 PCMH: No

Gastroenterology

Abadie, Sebastian MD Provider ID: 1260987Gender: MaleGeorgetown Physician Associates LLC4040 Highway 17, Ste 302Murrells Inlet, SC 29576-5098(843) 652-8290Fax: (843) 652-8299Mon - Fri 8:30 to 5:00 PCMH: No

Abadie, Sebastian MD Provider ID: 1260987Gender: MaleGeorgetown Physician Associates LLC4301 Dick Pond RdMyrtle Beach, SC 29588-6807(843) 652-8290Fax: (843) 652-8299Mon - Fri 8:30 to 5:00 PCMH: No

Bach, Christopher MD Provider ID: 1408332Gender: MaleGeorgetown Physician Associates Ll4040 Highway 17, Ste 302Murrells Inlet, SC 29576-5098(843) 652-8290Fax: (843) 652-8299Mon - Fri 8:30 to 5:00 PCMH: No

Bach, Christopher MD Provider ID: 1408332Gender: MaleGeorgetown Physician Associates Ll4301 Dick Pond RdMyrtle Beach, SC 29588-6807(843) 652-8290Fax: (843) 652-8299Mon - Fri 9:00 to 5:00 PCMH: No

Benson, Paul MD Provider ID: 1555607Gender: MaleGeorgetown Physician Associates Ll4040 Hwy 17 Bypass, Ste 302Murrells Inlet, SC 29576(843) 652-8290Fax: (843) 652-8299Mon - Fri 8:30 to 5:00 PCMH: No

Charbel, Samer MD Provider ID: 1035598Gender: MaleCmc Digestive Health2376 Cypress Cir, Ste 203Conway, SC 29526-8994(843) 347-6038Fax: (843) 347-9808Languages: Arabic, FrenchMon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Cornnell, Timothy MD Provider ID: 770657Gender: MaleCardiology Gastroenterology Associa945 82nd Pkwy, Ste 3Myrtle Beach, SC 29572(843) 449-3381Fax: (843) 839-0275Mon - Fri 9:00 to 5:00 PCMH: No



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Edmison, John MD Provider ID: 1539793Gender: MaleStrand Gi Associates Pa945 82nd Pkwy, Ste 3aMyrtle Beach, SC 29572-4612(843) 449-3381Fax: (843) 839-0275Mon - Fri 7:00 to 5:00 PCMH: No

Eisenman, Richard MD Provider ID: 900798Gender: MaleCmc Digestive Health2376 Cypress Cir, Ste 203Conway, SC 29526-8994(843) 347-6038Fax: (843) 347-9808Mon - Thu 9:00 to 5:00 Fri 9:00 to 1:00 PCMH: No

Eisenman, Richard MD Provider ID: 900798Gender: Male300 Singleton Ridge RdConway, SC 29526-9142(843) 347-7111PCMH: No

Elraie, Khaled MD Provider ID: 1168102Gender: MaleMcleod Digestive Health Center Seac107 Mcleod Health Blvd, Ste 207Myrtle Beach, SC 29579-4477(843) 366-3715Fax: (843) 366-3716PCMH: No

Elraie, Khaled MD Provider ID: 1168102Gender: MaleMcleod Digestive Health Center Seac3980 Highway 9 E, Ste 320Little River, SC 29566-8165(843) 366-3715Fax: (843) 366-3716Mon - Fri 8:00 to 5:00 PCMH: No

Hernandez, Jose MD Provider ID: 1856995Gender: MaleStrand Gi Associates945 82nd Pkwy, Ste 3aMyrtle Beach, SC 29572-4612(843) 449-3381Fax: (843) 449-9721Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Malone, Meghan MD Provider ID: 813316Gender: FemaleCmc Digestive Health2376 Cypress Cir, Ste 203Conway, SC 29526-8994(843) 347-6038Fax: (843) 347-9808Mon - Thu 9:00 to 5:00 Fri 9:00 to 12:00 PCMH: No

Pearson, Andrew MD Provider ID: 772054Gender: MaleCardiology Gastroenterology Associa945 82nd Pkwy, Ste 3Myrtle Beach, SC 29572(843) 449-3381Fax: (843) 839-0275Mon - Fri 9:00 to 5:00 PCMH: No

Pearson, Andrew MD Provider ID: 772054Gender: Male809 82nd PkwyMyrtle Beach, SC 29572-4607(843) 692-1000PCMH: No

Poland, Emily DO Provider ID: 1214845Gender: FemaleGeorgetown Physician Associates LLC4040 Highway 17, Ste 3602Murrells Inlet, SC 29576(843) 235-3131Fax: (843) 237-9797Mon - Fri 8:30 to 5:00 PCMH: No

Poland, Emily DO Provider ID: 1214845Gender: FemaleGeorgetown Physician Associates LLC4301 Dick Pond RdMyrtle Beach, SC 29588-6807(843) 235-3131Fax: (843) 237-9797Mon - Fri 9:00 to 5:00 PCMH: No

Raynor, Kathleen MD Provider ID: 1323565Gender: FemaleCardiology Gastroenterology Associa945 82nd Pkwy, Ste 3Myrtle Beach, SC 29572(843) 449-3381Fax: (843) 839-0275Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No



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Vukov, Gary MD Provider ID: 769937Gender: MaleCardiology Gastroenterology Associa945 82nd Pkwy, Ste 3Myrtle Beach, SC 29572(843) 449-3381Fax: (843) 449-9721Mon - Fri 9:00 to 5:00 PCMH: No

General Practice

Scott, Brian MD Provider ID: 1778673Gender: MaleForest Family Care3874 Renee Dr, Unit BMyrtle Beach, SC 29579-4358(843) 903-4500Fax: (843) 903-4505Mon - Fri 8:00 to 5:00 PCMH: No

General Surgery

Bednarski, Hania DO Provider ID: 2222418Gender: FemaleGrand Strand Surgical Specialists920 Doug White Dr, Ste 430Myrtle Beach, SC 29572-4182(843) 497-6348Fax: (843) 497-6351Mon - Fri 8:00 to 5:00 PCMH: No

Bjerken, David MD Provider ID: 1143766Gender: MaleMcleod Vascular Associates Seacoast3980 Highway 9 E, Ste 240Little River, SC 29566-8164(843) 366-3755Fax: (843) 366-3750Mcleod Regional Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Brackett, Newton MD Provider ID: 1336916Gender: MaleGeorgetown Physician Associates Ll8203 Nigels DrMyrtle Beach, SC 29572-4177(843) 651-3308Fax: (843) 651-4629Thu 8:00 to 12:00 PCMH: No

Brackett, Newton MD Provider ID: 1336916Gender: MaleGeorgetown Physicians Associates Ll4181 Highway 17Murrells Inlet, SC 29576-5019(843) 651-3308Fax: (843) 651-4629Mon, Thu - Fri 12:30 to 5:00 Wed 9:00 to 5:00 PCMH: No

Brockman, Robert MD Provider ID: 1218886Gender: MaleGeorgetown Physician Associates LLC4040 Highway 17, Ste 202Murrells Inlet, SC 29576-5098(843) 652-8390Fax: (843) 652-8399Mon - Fri 8:30 to 5:00 PCMH: No

Cobos, Rachel MD Provider ID: 1821668Gender: FemaleGrand Strand Surgical Specialists849 82nd PkwyMyrtle Beach, SC 29572-4614(843) 497-6348Fax: (843) 497-6351Mon - Fri 8:00 to 5:00 PCMH: No

Epstein, Aaron MD Provider ID: 1789395Gender: MaleCmc Surgical Associates2361 Cypress CirConway, SC 29526-8921(843) 347-7291Fax: (843) 347-9309Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Epstein, Aaron MD Provider ID: 776823Gender: MaleAssociates In Surgery2361 Cypress CirConway, SC 29526(843) 347-7291Fax: (843) 347-9309Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Epstein, Aaron MD Provider ID: 776823Gender: MaleAssociates In Surgery4361 Riverwood Dr, Ste 210Murrells Inlet, SC 29576(843) 347-7291Fax: (843) 347-9301Tue - Wed 8:30 to 12:00 PCMH: No

Epstein, Aaron MD Provider ID: 776823Gender: Male300 Singleton Ridge RdConway, SC 29526-9142(843) 347-7111PCMH: No

Farrah, Jason MD Provider ID: 1802649Gender: MaleGrand Strand Surgical Specialists849 82nd PkwyMyrtle Beach, SC 29572-4614(843) 497-6348Fax: (843) 497-6351Mon - Fri 8:00 to 5:00 PCMH: No



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Foreman, Thomas MD Provider ID: 1471297Gender: MaleHealogics Specialty Physicians Of S5050 Hwy 17 Bypass SMyrtle Beach, SC 29588(843) 692-4540Fax: (843) 839-6006Mon - Fri 8:00 to 5:00 PCMH: No

Glaser, Jacob MD Provider ID: 1727168Gender: MaleGrand Strand Surgical Specialists849 82nd PkwyMyrtle Beach, SC 29572-4614(843) 497-6348Fax: (843) 497-6351Mon - Thu 8:00 to 5:00 Fri 8:00 to 4:00 PCMH: No

Johnson, Alan MD Provider ID: 2023281Gender: MaleGrand Strand Surgical Specialists933 Medical CircleMyrtle Beach, SC 29572-4116(843) 497-7772Fax: (843) 497-7627Mon - Fri 9:00 to 5:00 PCMH: No

Lew, Michael MD Provider ID: 2014308Gender: MaleCmc Surgical Associates2361 Cypress CirConway, SC 29526-8921(843) 347-7291Fax: (843) 347-0139Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Matzinger, Steven MD Provider ID: 848104Gender: MaleGrand Strand Surgical Specialists199 Village Center Blvd, Ste 100Myrtle Beach, SC 29579-3589(843) 497-7772Fax: (843) 236-1500Grand Strand Regional Medical CenterMon - Thu 8:30 to 5:00 Fri 8:30 to 4:00 PCMH: No

Mccrae, Allison MD Provider ID: 1728704Gender: FemaleGrand Strand Surgical Care849 82nd PkwyMyrtle Beach, SC 29572-4614(843) 497-6348Fax: (843) 497-6351Mon - Fri 8:00 to 5:00 PCMH: No

Mcintyre, Alex MD Provider ID: 1854093Gender: MaleHealogics Specialty Physicians Of S300 Singleton Ridge RdConway, SC 29526-9142(843) 347-8347Fax: (904) 446-3032Mon - Fri 8:00 to 5:00 PCMH: No

Mijalli, Mamdouh MD Provider ID: 771737Gender: MaleMcleod Loris Seacoast Surgery107 Mcleod Health Blvd, Ste 201Myrtle Beach, SC 29579-4477(843) 399-9774Fax: (843) 399-8657Mon - Fri 8:00 to 5:00 PCMH: No

Mijalli, Mamdouh MD Provider ID: 771737Gender: MaleMcleod Loris Seacoast Surgery3617 Casey St, Ste DLoris, SC 29569-2981(843) 756-3150Fax: (843) 756-4787Mon - Fri 8:00 to 5:00 PCMH: No

Mijalli, Mamdouh MD Provider ID: 771737Gender: MaleMcleod Loris Seacoast Surgery3980 Highway 9 E, Ste 310Little River, SC 29566-8165(843) 399-9774Fax: (843) 399-8657Mon - Fri 8:00 to 5:00 PCMH: No

Mincey, Kenneth MD Provider ID: 775799Gender: MaleMcleod Loris Seacoast Surgery3617 Casey St, Ste DLoris, SC 29569-2981(843) 756-3150Fax: (843) 399-8657Mon - Fri 8:30 to 5:00 PCMH: No

Mincey, Kenneth MD Provider ID: 775799Gender: MaleMcleod Loris Seacoast Surgery3980 Highway 9 E, Ste 310Little River, SC 29566-8165(843) 399-9774Fax: (843) 399-8657Mon - Fri 8:00 to 5:00 PCMH: No



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Mislowsky, Angela MD Provider ID: 775732Gender: FemaleCoastal Carolina Breast Center4181 Highway 17Murrells Inlet, SC 29576(843) 651-3308Fax: (843) 651-4629Mon - Thu 9:00 to 5:00 Fri 9:00 to 12:00 PCMH: No

Mislowsky, Angela MD Provider ID: 951018Gender: FemaleGeorgetown Physician Associates LLC4181 Hwy 17 BypassMurrells Inlet, SC 29576-5019(843) 651-3308Fax: (843) 651-4629Mon - Tue, Fri 12:30 to 5:00 Wed 9:00 to 5:00 PCMH: No

Mislowsky, Angela MD Provider ID: 951018Gender: FemaleGeorgetown Physician Associates LLC8203 Nigels DrMyrtle Beach, SC 29572-4177(843) 651-3308Fax: (843) 651-4629Tue 8:00 to 12:00 PCMH: No

Nuwayhid, Zaher MD Provider ID: 1537503Gender: MaleCpg Bariatric And General Surgery2376 Cypress Cir, Ste 103Conway, SC 29526-8964(843) 347-3900Fax: (843) 347-3930Mon - Thu 8:30 to 5:00 Fri 8:30 to 1:00 PCMH: No

Piacentino, Valentino MD Provider ID: 1728437Gender: MaleGrand Strand Surgical Specialists199 Village Center Blvd, Ste 100Myrtle Beach, SC 29579-3589(843) 497-6348Fax: (844) 861-1500Mon - Fri 8:00 to 5:00 PCMH: No

Piacentino, Valentino MD Provider ID: 1728437Gender: MaleGrand Strand Surgical Specialists849 82nd PkwyMyrtle Beach, SC 29572-4614(843) 497-6348Fax: (843) 497-6351Mon - Thu 8:00 to 5:00 Fri 8:00 to 4:00 PCMH: No

Piacentino, Valentino MD Provider ID: 1728437Gender: MaleWaterway Primary Care LLC4237 River Hills Dr, Ste 150Little River, SC 29566-6446(843) 281-2778Mon - Fri 8:00 to 5:00 PCMH: No

Pinnola, Aaron DO Provider ID: 2235425Gender: MaleGrand Strand Surgical Specialists199 Vlg Ctr Blvd, Ste 100Myrtle Beach, SC 29579-3589(843) 497-6348Fax: (843) 497-6351Mon - Fri 8:00 to 5:00 PCMH: No

Poole, Trevor MD Provider ID: 1235971Gender: MaleGrand Dunes Surgery Center1021 Cipriana Dr, Ste 100Myrtle Beach, SC 29572(843) 449-7885Fax: (843) 497-5395Languages: SpanishMon - Thu 9:00 to 5:00 Fri 9:00 to 3:00 PCMH: No

Poole, Trevor MD Provider ID: 1235971Gender: MaleMcleod Loris3655 Mitchell StLittle River, SC 29566(843) 716-7000Fax: (843) 399-9098Languages: SpanishMon - Thu 9:00 to 5:00 Fri 9:00 to 3:00 PCMH: No

Poole, Trevor MD Provider ID: 1235971Gender: MaleMcleod Seacoast400 Highway 9 EastLittle River, SC 29566(843) 390-8100Fax: (843) 399-9098Languages: SpanishMon - Thu 9:00 to 5:00 Fri 9:00 to 3:00 PCMH: No

Poole, Trevor MD Provider ID: 1235971Gender: MaleSouthern Surgical Associates3600 Sea Mountain Hwy, Ste ALittle River, SC 29566(843) 399-9095Fax: (843) 399-9098Languages: SpanishMon - Thu 9:00 to 5:00 Fri 9:00 to 3:00 PCMH: No



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Rimkus, Gilbertas MD Provider ID: 1788042Gender: MaleCmc Surgical Associates2361 Cypress CirConway, SC 29526(843) 347-7291Fax: (843) 347-0139Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Rimkus, Gilbertas MD Provider ID: 772134Gender: MaleAssociates In Surgery2361 Cypress CirConway, SC 29526(843) 347-7291Fax: (843) 347-9309Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Sasser, Paul MD Provider ID: 1795584Gender: MaleCmc Surgical Associates2361 Cypress CirConway, SC 29526-8921(843) 347-7291Fax: (843) 347-9309Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Sasser, Paul MD Provider ID: 770841Gender: MaleSasser Medical Associates LLC2361 Cypress CirConway, SC 29526(843) 347-7291Fax: (843) 347-9309Mon - Thu 9:00 to 4:00 Fri 9:00 to 5:00 PCMH: No

Sasser, Paul MD Provider ID: 770842Gender: MaleAssociates In Surgery2361 Cypress CirConway, SC 29526(843) 347-7291Fax: (843) 347-9309Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Sasser, Paul MD Provider ID: 770842Gender: Male4036 River Oaks Dr, Ste B2Myrtle Beach, SC 29579-6695(843) 796-1721Fax: (843) 796-1916PCMH: No

Sciarretta, Jason MD Provider ID: 2025736Gender: MaleGrand Strand Surgical Specialists849 82nd PkwyMyrtle Beach, SC 29572-4614(843) 497-6348Fax: (843) 497-6351Mon - Fri 8:30 to 5:00 PCMH: No

Sibille, Joshua MD Provider ID: 1435301Gender: MaleMcleod Vascular Associates Seacoast3980 Highway 9 E, Ste 240Little River, SC 29566-8164(843) 366-3755Fax: (843) 366-3750Mon - Fri 8:00 to 5:00 PCMH: No

Witkowski, Mark DO Provider ID: 1237882Gender: MaleGeorgetown Physician Associates LLC4040 Highway 17, Suite 202Murrells Inlet, SC 29576-5098(843) 652-8390Fax: (843) 652-8399Mon - Fri 8:30 to 5:00 PCMH: No

Young, Eric MD Provider ID: 771079Gender: MaleMcleod Loris Seacoast Surgery3617 Casey St, Ste DLoris, SC 29569-2981(843) 756-3150Fax: (843) 399-8657Mon - Fri 8:30 to 5:00 PCMH: No

Young, Eric MD Provider ID: 771079Gender: MaleMcleod Loris Seacoast Surgery3980 Highway 9 E, Ste 310Little River, SC 29566-8165(843) 399-9774Fax: (843) 399-8657Mon - Fri 8:00 to 5:00 PCMH: No

Hand Surgery

Duncan V, Scott MD Provider ID: 1472090Gender: MaleGrand Strand Gme Program - Surgery8170 Rourk St, Ste 150Myrtle Beach, SC 29572-4127(843) 848-1440Fax: (843) 839-1654Mon - Thu 8:00 to 5:00 Fri 8:00 to 4:00 PCMH: No



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Hand Surgery - cont.

Duncan V, Scott MD Provider ID: 1472090Gender: MaleGrand Strand Gme Program - Surgery849 82nd PkwyMyrtle Beach, SC 29572(843) 497-6348Mon - Fri 8:00 to 5:00 PCMH: No

Lukowski, David MD Provider ID: 776517Gender: MaleMcleod Orthopaedic Associates3980 Highway 9 E, Ste 200Little River, SC 29566-8164(843) 390-0100Fax: (843) 390-0038Mon - Fri 9:00 to 5:00 PCMH: No


Adams, Sara MD Provider ID: 882899Gender: FemaleGeorgetown Physician Associates LLC1220 21st Ave NMyrtle Beach, SC 29577-7401(843) 652-3600Fax: (843) 652-3602Mon - Fri 9:00 to 5:00 PCMH: No

Adams, Sara MD Provider ID: 882899Gender: FemaleGeorgetown Physician Associates LLC4181 Hwy 17 BypassMurrells Inlet, SC 29576(843) 652-3600Fax: (843) 652-3602Mon - Fri 8:30 to 5:00 PCMH: No

Brown, Dejuania DO Provider ID: 1974031Gender: FemaleAssociated Medical Specialists Pa8121 Rourk StMyrtle Beach, SC 29572-4128(843) 692-5000Fax: (843) 692-5010Mon - Thu 7:30 to 5:00 Fri 7:30 to 3:00 Sat - Sun 8:00 to 12:00 PCMH: No

Goldberg, Renwick MD Provider ID: 1973291Gender: MaleAssociated Medical Specialists Pa8121 Rourk StMyrtle Beach, SC 29572-4128(843) 695-5000Fax: (843) 429-5010Mon - Thu 7:30 to 5:00 Fri 7:30 to 3:00 Sat - Sun 9:00 to 12:00 PCMH: No

Goldberg, Renwick MD Provider ID: 1973291Gender: MaleAssociated Medical Specialists Pa817 Farrar DrConway, SC 29526-8747(843) 234-1660Fax: (843) 234-1661Mon, Wed - Thu 8:00 to 4:30 Tue 8:00 to 4:00 Fri 8:00 to 3:00 PCMH: No

Haughton, Michael MD Provider ID: 1238810Gender: MaleGeorgetown Physician Associates LLC1220 21st Ave NMyrtle Beach, SC 29577-7401(843) 652-8300Fax: (843) 652-8301Mon - Fri 9:00 to 5:00 PCMH: No

Haughton, Michael MD Provider ID: 1238810Gender: MaleGeorgetown Physician Associates LLC4181 Highway 17Murrells Inlet, SC 29576-5019(843) 652-3600Fax: (843) 652-3602Mon - Fri 9:00 to 5:00 PCMH: No

Henderson, Jordan DO Provider ID: 1977118Gender: MaleAssociated Medical Specialists Pa8121 Rourk StMyrtle Beach, SC 29572-4128(843) 692-5000Fax: (843) 692-5010Mon - Thu 7:30 to 5:00 Fri 7:30 to 3:00 Sat - Sun 9:00 to 12:00 PCMH: No

Huynh, Donny MD Provider ID: 1477274Gender: MaleMcleod Oncology Hematology Seacoas3980 Highway 9 E, Ste 300Little River, SC 29566-8165(843) 366-3891Fax: (843) 366-3892Mon - Fri 8:00 to 5:00 PCMH: No

Thumallapally, Nishitha MD

Provider ID: 2339520Gender: FemaleCmc Cancer Center300 Singleton Ridge RdConway, SC 29526-9142(843) 347-8050Fax: (843) 347-8049Languages: Hindi, TeluguMon - Fri 8:00 to 5:00 PCMH: No



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Hematology & Oncology - cont.

Touloukian, Emily DO Provider ID: 1973739Gender: FemaleAssociated Medical Specialists Pa3008 Bayboro StLoris, SC 29569-2714(843) 756-0932Fax: (843) 756-0508Mon - Thu 8:00 to 4:30 Fri 8:00 to 3:00 PCMH: No

Touloukian, Emily DO Provider ID: 1973739Gender: FemaleAssociated Medical Specialists Pa8121 Rourk StMyrtle Beach, SC 29572-4128(843) 692-5000Fax: (843) 692-5010Mon - Fri 7:30 to 5:00 Sat - Sun 9:00 to 12:00 PCMH: No

Infectious Disease

Ebama, Nyabilondi MD Provider ID: 773300Gender: FemaleLowcountry Infectious Diseases Pa128 Pro Park Dr, Unit BConway, SC 29526(843) 449-1640Fax: (843) 449-1605Mon - Fri 8:00 to 4:30 PCMH: No

Osmanzai, Yama MD Provider ID: 1225633Gender: Male1110 London St, Ste 102Myrtle Beach, SC 29577-5799(843) 668-2376Fax: (843) 748-0613PCMH: No

Osmanzai, Yama MD Provider ID: 1225633Gender: MaleCoastal Carolina Infectious Disease1039 44th Ave N, Ste 204Myrtle Beach, SC 29577(843) 443-4232Fax: (843) 443-4229Thu 12:00 to 5:00 Fri 8:00 to 4:00 PCMH: No

Powers, James MD Provider ID: 1526480Gender: Male809 82nd PkwyMyrtle Beach, SC 29572-4607(843) 692-1000Fax: (843) 692-1109PCMH: No

Powers, James MD Provider ID: 1526480Gender: MaleStrand Infectious Disease PC831 82nd PkwyMyrtle Beach, SC 29572-4607(843) 839-0135Fax: (843) 449-2333Mon - Fri 8:00 to 5:00 PCMH: No

Shea, Kevin MD Provider ID: 2224232Gender: MaleCoastal Carolina Primary Care LLC8170 Rourk St, Ste 100Myrtle Beach, SC 29572-4127(843) 236-1950Fax: (843) 236-1952Mon - Fri 8:00 to 5:00 PCMH: No

Shea, Kevin MD Provider ID: 2224257Gender: MaleCoastal Carolina Primary Care LLC920 Doug White Drive, Ste 250Myrtle Beach, SC 29572-4120(843) 236-1950Fax: (843) 236-1952Mon - Fri 8:00 to 5:00 PCMH: No

West, Timothy MD Provider ID: 776175Gender: MaleLowcountry Infectious931 Medical CirMyrtle Beach, SC 29572(843) 449-1640Fax: (843) 449-1605Mon - Fri 9:00 to 5:00 PCMH: No

Internal Medicine

Abadie, Sebastian MD Provider ID: 1260987Gender: MaleGeorgetown Physician Associates LLC4040 Highway 17, Ste 302Murrells Inlet, SC 29576-5098(843) 652-8290Fax: (843) 652-8299Mon - Fri 8:30 to 5:00 PCMH: No

Abadie, Sebastian MD Provider ID: 1260987Gender: MaleGeorgetown Physician Associates LLC4301 Dick Pond RdMyrtle Beach, SC 29588-6807(843) 652-8290Fax: (843) 652-8299Mon - Fri 8:30 to 5:00 PCMH: No

Adams, Sara MD Provider ID: 882899Gender: FemaleGeorgetown Physician Associates LLC1220 21st Ave NMyrtle Beach, SC 29577-7401(843) 652-3600Fax: (843) 652-3602Mon - Fri 9:00 to 5:00 PCMH: No



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Adams, Sara MD Provider ID: 882899Gender: FemaleGeorgetown Physician Associates LLC4181 Hwy 17 BypassMurrells Inlet, SC 29576(843) 652-3600Fax: (843) 652-3602Mon - Fri 8:30 to 5:00 PCMH: No

Almeida, Nathan MD Provider ID: 774862Gender: MalePee Dee Cardiology Associates3980 Highway 9 E, Ste 220Little River, SC 29566-8164(843) 390-0877Fax: (843) 390-0881Mon - Fri 8:00 to 5:00 PCMH: No

Almeida, Nathan MD Provider ID: 774862Gender: MalePee Dee Cardiology Associates Loris3485 Mitchell StLoris, SC 29569-2823(843) 756-7029Fax: (843) 756-7033Mon - Fri 8:00 to 5:00 PCMH: No

Bach, Christopher MD Provider ID: 1408332Gender: MaleGeorgetown Physician Associates Ll4040 Highway 17, Ste 302Murrells Inlet, SC 29576-5098(843) 652-8290Fax: (843) 652-8299Mon - Fri 8:30 to 5:00 PCMH: No

Bach, Christopher MD Provider ID: 1408332Gender: MaleGeorgetown Physician Associates Ll4301 Dick Pond RdMyrtle Beach, SC 29588-6807(843) 652-8290Fax: (843) 652-8299Mon - Fri 9:00 to 5:00 PCMH: No

Bashall, Anthony MD Provider ID: 2315728Gender: MaleGrand Strand Heart Vascular Care920 Doug White Dr, Ste 510Myrtle Beach, SC 29572-4183(843) 497-7772Fax: (843) 848-7530Mon - Fri 8:00 to 5:00 PCMH: No

Best, Darryl MD Provider ID: 771397Gender: MaleSouth Carolina Inpatient Medicine A3655 Mitchell StLoris, SC 29569(843) 716-7255Fax: (843) 716-7286Mon - Fri 9:00 to 5:00 PCMH: No

Cicio, William MD Provider ID: 2176900Gender: MaleCmc Cardiac Care2376 Cypress Cir, Ste 102Conway, SC 29526-8964(843) 347-8953Fax: (843) 347-0226Mon - Fri 8:00 to 5:00 PCMH: No

Ebama, Nyabilondi MD Provider ID: 773300Gender: FemaleLowcountry Infectious Diseases Pa128 Pro Park Dr, Unit BConway, SC 29526(843) 449-1640Fax: (843) 449-1605Mon - Fri 8:00 to 4:30 PCMH: No

Edmison, Lacie MD Provider ID: 1737285Gender: FemaleMcleod Digestive Health Center Seac107 Mcleod Health Blvd, Ste 207Myrtle Beach, SC 29579-4477(843) 366-3715Fax: (843) 366-3716Mon - Fri 8:00 to 5:00 PCMH: No

Edmison, Lacie MD Provider ID: 1737285Gender: FemaleMcleod Digestive Health Center Seac3980 Highway 9 E, Ste 320Little River, SC 29566-8165(843) 366-3715Fax: (843) 366-3716Mon - Fri 8:00 to 5:00 PCMH: No

Goodroe, Randall MD Provider ID: 874319Gender: MaleGrand Strand Surgical Specialists199 Vlg Ctr Blvd, Ste 100Myrtle Beach, SC 29579-3589(843) 497-7772Fax: (843) 236-1500Grand Strand Regional Medical CenterMon - Fri 8:00 to 5:00 PCMH: No



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Goodroe, Randall MD Provider ID: 874319Gender: MaleGrand Strand Surgical Specialists8210 Devon CtMyrtle Beach, SC 29572-4178(843) 497-7772Fax: (843) 848-7530Grand Strand Regional Medical CenterMon - Thu 9:00 to 5:00 Fri 9:00 to 4:00 PCMH: No

Haseltine, David MD Provider ID: 772635Gender: MaleWaccamaw Community Hospital4070 Highway 17 Byp SMyrtle Beach, SC 29575-3350(843) 652-1000Mon - Fri 9:00 to 5:00 PCMH: No

Hassan, Alkhatib MD Provider ID: 2318925Gender: MaleMcleod Health Loris Seacoast3655 Mitchell StLoris, SC 29569-2827(843) 777-5240Fax: (843) 777-5572Languages: ArabicMon - Sun 12:00 to 12:00 PCMH: No

Hernandez, Jose MD Provider ID: 1856995Gender: MaleStrand Gi Associates945 82nd Pkwy, Ste 3aMyrtle Beach, SC 29572-4612(843) 449-3381Fax: (843) 449-9721Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Huynh, Donny MD Provider ID: 1477274Gender: MaleMcleod Oncology Hematology Seacoas3980 Highway 9 E, Ste 300Little River, SC 29566-8165(843) 366-3891Fax: (843) 366-3892Mon - Fri 8:00 to 5:00 PCMH: No

Itani, Najla MD Provider ID: 2012258Gender: FemaleCmc Cancer Center300 Singleton Ridge RdConway, SC 29526-9142(843) 347-7111Languages: Arabic, FrenchMon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Karavan, Mark MD Provider ID: 204384Gender: Male920 Doug White DrMyrtle Beach, SC 29572(843) 497-7772Grand Strand Regional Medical CenterPCMH: No

Kemp, Faron MD Provider ID: 773961Gender: FemaleWaccamaw Community Hospital4070 Highway 17 Byp SMyrtle Beach, SC 29575-3350(843) 527-7000Mon - Fri 9:00 to 5:00 PCMH: No

Mclaughlin, Matthew DO Provider ID: 1554763Gender: MaleInlet Pulmonary Critical Care And4057 Highway 17Murrells Inlt, SC 29576-5032(843) 652-4800Fax: (843) 357-4783Mon - Thu 8:30 to 6:00 PCMH: No

Meyer, Stephen MD Provider ID: 1794597Gender: MaleCoastal Carolina Primary Care LLC8170 Rourk St, Ste 100Myrtle Beach, SC 29572-4127(843) 236-1950Fax: (843) 236-1952Mon - Fri 8:00 to 5:00 PCMH: No

Miara, Melissa DO Provider ID: 1923391Gender: FemaleMcleod Pulmonary & Critical Care SE3617 Casey St, Ste CLoris, SC 29569-2981(843) 716-7911Fax: (843) 716-7918Mon - Fri 8:00 to 5:00 PCMH: No

Nagabandi, Shashikanth MD Provider ID: 2271942Gender: MaleGrand Strand Heart Vascular Care920 Doug White Dr, Ste 540Myrtle Beach, SC 29572-4180(843) 497-7772Fax: (843) 497-7772Mon - Fri 8:00 to 5:00 PCMH: No

Nicol, Philip MD Provider ID: 772896Gender: MaleGeorgetown Physician Associates LLC11891 Plaza DrMurrells Inlet, SC 29576(843) 353-0288Fax: (843) 357-9770Mon - Fri 8:00 to 4:30 PCMH: No



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Nillas, Romeo MD Provider ID: 1187029Gender: MaleLittle River Medical Center Inc1075 Mr Joe White Ave, Ste 101Myrtle Beach, SC 29577(843) 663-8000Fax: (843) 839-2052Mon - Fri 8:30 to 5:30 PCMH: No

Paragas, Lamberto MD Provider ID: 1583037Gender: MaleTidelands Health Wound Healing Cent4367 Riverwood Dr, Ste 140Murrells Inlt, SC 29576-4381(843) 652-8020Fax: (843) 652-8021Mon - Fri 8:00 to 4:00 PCMH: No

Patel, Nirlep MD Provider ID: 771489Gender: MaleCarolina Health Specialists809 82nd PkwyMyrtle Beach, SC 29572(843) 497-5929Fax: (843) 497-6601Mon - Fri 9:00 to 5:00 PCMH: No

Poland, Emily DO Provider ID: 1214845Gender: FemaleGeorgetown Physician Associates LLC4040 Highway 17, Ste 3602Murrells Inlet, SC 29576(843) 235-3131Fax: (843) 237-9797Mon - Fri 8:30 to 5:00 PCMH: No

Poland, Emily DO Provider ID: 1214845Gender: FemaleGeorgetown Physician Associates LLC4301 Dick Pond RdMyrtle Beach, SC 29588-6807(843) 235-3131Fax: (843) 237-9797Mon - Fri 9:00 to 5:00 PCMH: No

Powers, James MD Provider ID: 1526480Gender: MaleStrand Infectious Disease PC831 82nd PkwyMyrtle Beach, SC 29572-4607(843) 839-0135Fax: (843) 449-2333Mon - Fri 8:00 to 5:00 PCMH: No

Powers, James MD Provider ID: 1526480Gender: Male809 82nd PkwyMyrtle Beach, SC 29572-4607(843) 692-1000Fax: (843) 692-1109PCMH: No

Raynor, Kathleen MD Provider ID: 1323565Gender: FemaleCardiology Gastroenterology Associa945 82nd Pkwy, Ste 3Myrtle Beach, SC 29572(843) 449-3381Fax: (843) 839-0275Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Santiago, Kenneth MD Provider ID: 990540Gender: MaleKenneth A Santiago Md300 Singleton Ridge RdConway, SC 29526-9142(843) 347-7111Fax: (843) 234-6722Languages: SpanishMon - Fri 9:00 to 5:00 PCMH: No

Subnani, Kishore MD Provider ID: 2160587Gender: MaleMcleod Cardiology Associates3485 Mitchell StLoris, SC 29569-2823(843) 390-0877Fax: (843) 390-0881Mon - Fri 8:00 to 5:00 PCMH: No

Swift, Catherine MD Provider ID: 1179844Gender: FemaleGeorgetown Physician Associates LLC1220 21st Ave NMyrtle Beach, SC 29577-7401(847) 365-2830Fax: (843) 652-8301Mon - Fri 9:00 to 5:00 PCMH: No

Swift, Catherine MD Provider ID: 1179844Gender: FemaleGeorgetown Physician Associates LLC4181 Highway 17Murrells Inlet, SC 29576-5019(843) 652-3600Fax: (843) 652-3602Mon - Thu 8:00 to 5:00 Fri 8:00 to 6:30 PCMH: No



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Terchek, Melissa MD Provider ID: 2189223Gender: FemaleCarolina Rheumatology & Neuro-logy A8220 Nigels DrMyrtle Beach, SC 29572-4125(843) 692-0968Fax: (843) 692-2688Tue, Thu 8:00 to 4:00 PCMH: No


Brady, Stephen MD Provider ID: 1990001Gender: MaleCmc Cardiac Care2376 Cypress Cir, Ste 102Conway, SC 29526-8964(843) 347-8953Fax: (843) 347-0226Mon - Fri 7:30 to 5:00 PCMH: No

Chaubey, Vinod MD Provider ID: 2321950Gender: MaleCmc Cardiac Care2376 Cypress Cir, Ste 102Conway, SC 29526-8964(843) 347-8953Fax: (843) 347-0226Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Hadstate, James MD Provider ID: 1312741Gender: MaleGrand Strand Gme- Cardiology199 Village Center Blvd, Ste 100Myrtle Beach, SC 29579(843) 497-7772Fax: (843) 236-1500Mon - Fri 8:00 to 5:00 PCMH: No

Hadstate, James MD Provider ID: 1312741Gender: MaleGrand Strand Surgical Specialists8210 Devon CtMyrtle Beach, SC 29572(843) 497-7772Fax: (843) 848-7530Mon - Thu 8:30 to 5:00 Fri 8:30 to 4:00 PCMH: No

Medical Oncology

Haughton, Michael MD Provider ID: 1238810Gender: MaleGeorgetown Physician Associates LLC1220 21st Ave NMyrtle Beach, SC 29577-7401(843) 652-8300Fax: (843) 652-8301Mon - Fri 9:00 to 5:00 PCMH: No

Haughton, Michael MD Provider ID: 1238810Gender: MaleGeorgetown Physician Associates LLC4181 Highway 17Murrells Inlet, SC 29576-5019(843) 652-3600Fax: (843) 652-3602Mon - Fri 9:00 to 5:00 PCMH: No

Paudel, Vijay MD Provider ID: 1989883Gender: MaleAssociated Medical Specialists Pa8121 Rourk StMyrtle Beach, SC 29572-4128(843) 692-5000Fax: (843) 295-5010Mon - Thu 7:30 to 5:00 Fri 7:30 to 3:00 Sat - Sun 8:30 to 12:00 PCMH: No

Nephrology

Balachandra, Sivanthan MD Provider ID: 775084Gender: MaleCoastal Kidney Center1151 44th Ave N, Ste AMyrtle Beach, SC 29577-5756(843) 497-7275Fax: (843) 497-7110Wed 11:00 to 5:00 PCMH: No

Balachandra, Sivanthan MD Provider ID: 775084Gender: MaleCoastal Kidney Center834 Farrar DrConway, SC 29526(843) 347-9487Fax: (843) 347-9574Mon - Tue, Fri 11:00 to 5:00 PCMH: No

Elms, John MD Provider ID: 775711Gender: MaleCoastal Kidney Center Pa1151 44th Ave N, Ste AMyrtle Beach, SC 29577-5756(843) 497-7275Fax: (843) 497-7110Grand Strand Regional Medical CenterMcleod Loris Seacoast HoConway Medical CenterMon - Wed, Fri 12:00 to 5:00 PCMH: No

Elms, John MD Provider ID: 775711Gender: MaleCoastal Kidney Center Pa834 Farrar DrConway, SC 29526(843) 347-9487Fax: (843) 347-9574Grand Strand Regional Medical CenterMcleod Loris Seacoast HoConway Medical CenterMon - Tue 12:00 to 5:00 Wed, Fri 9:00 to 5:00 PCMH: No



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Nephrology - cont.

Po, Christopher MD Provider ID: 774924Gender: MaleMcleod Nephrology Seacoast3617 Casey St, Ste CLoris, SC 29569-2981(843) 716-7613Fax: (843) 716-7918Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Po, Christopher MD Provider ID: 774924Gender: MaleMcleod Nephrology Seacoast3980 Highway 9 E, Ste 240Little River, SC 29566-8164(843) 716-7163Fax: (843) 716-7918Mon - Fri 8:00 to 5:00 PCMH: No

Neurology

Almidani, Mazen MD Provider ID: 2318889Gender: MaleMcleod Health Loris Seacoast3655 Mitchell StLoris, SC 29569-2827(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Bangco, Mario MD Provider ID: 1081883Gender: MaleCmc Neurology124 Professional Park DrConway, SC 29526(843) 347-4473Fax: (843) 234-8951Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Colongarcia, Patricia MD Provider ID: 2313069Gender: FemaleMcleod Health Loris Seacoast3655 Mitchell StLoris, SC 29569-2827(843) 716-7000Fax: (843) 320-8322Mon - Sun 12:00 to 12:00 PCMH: No

Coni, Robert DO Provider ID: 1244383Gender: MaleGrand Strand Specialty Associates849 82nd PkwyMyrtle Beach, SC 29572(843) 449-2336Fax: (843) 497-0625Mon - Thu 8:00 to 5:00 Fri 8:00 to 3:00 PCMH: No


Provider ID: 2309820Gender: MaleMcleod Health Loris Seacoast3655 Mitchell StLoris, SC 29569-2827(843) 716-7000Fax: (843) 320-8322Mon - Sun 12:00 to 12:00 PCMH: No

Grinman, Mark MD Provider ID: 1210239Gender: MaleGrand Strand Specialty Associates849 82nd PkwyMyrtle Beach, SC 29572(843) 449-2336Fax: (843) 497-6351Mon - Fri 8:00 to 5:00 PCMH: No

Khishchenko, Natan MD Provider ID: 2318929Gender: MaleMcleod Health Loris Seacoast3655 Mitchell StLoris, SC 29569-2827(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Mccaffrey, Michael MD Provider ID: 1202016Gender: MaleMcleod Neurology Carolina Forest107 Mcleod Health Blvd, Ste 102Myrtle Beach, SC 29579-4477(843) 646-8040Fax: (843) 777-7005Mon - Fri 8:00 to 5:00 PCMH: No

Mccaffrey, Michael MD Provider ID: 1202016Gender: MaleMcleod Neurology Seacoast3710 Mishoe StLoris, SC 29569-2822(843) 716-8900Fax: (843) 716-2273Mon - Fri 8:00 to 5:00 PCMH: No

Mcdonald, Mark MD Provider ID: 2309837Gender: MaleMcleod Health Loris Seacoast3655 Mitchell StLoris, SC 29569-2827(843) 716-7000Fax: (843) 320-8322Mon - Sun 12:00 to 12:00 PCMH: No

Mendelson, Joshua MD Provider ID: 2318945Gender: MaleMcleod Health Loris Seacoast3655 Mitchell StLoris, SC 29569-2827(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No



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Horry

Neurology - cont.

Newman, Richard MD Provider ID: 2318967Gender: MaleMcleod Health Loris Seacoast3655 Mitchell StLoris, SC 29569-2827(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Null, Elizabeth MD Provider ID: 2318968Gender: FemaleMcleod Health Loris Seacoast3655 Mitchell StLoris, SC 29569-2827(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Sandoz, George MD Provider ID: 1224713Gender: MaleCmc Neurology124 Professional Park DrConway, SC 29526(843) 347-4473Fax: (843) 234-8951Languages: Portuguese, SpanishMon - Thu 8:30 to 5:00 Fri 8:30 to 1:00 PCMH: No

Shissias, Charles MD Provider ID: 2287554Gender: MaleGrand Strand Behavioral Health5050 Highway 17 Byp SMyrtle Beach, SC 29588-4500(843) 839-6090Fax: (843) 497-8305Mon - Fri 8:00 to 5:00 PCMH: No

Spencer, Olinda MD Provider ID: 1604474Gender: FemaleMcleod Neurology Carolina Forest107 Mcleod Health Blvd, Ste 102Myrtle Beach, SC 29579-4477(843) 646-8040Fax: (843) 777-7005Mon - Fri 8:00 to 5:00 PCMH: No

Vega, Jose MD Provider ID: 2309880Gender: MaleMcleod Health Loris Seacoast3655 Mitchell StLoris, SC 29569-2827(843) 716-7000Fax: (843) 320-8322Mon - Sun 12:00 to 12:00 PCMH: No

Vemuri, Praveen MD Provider ID: 1648856Gender: MaleCmc Neurology124 Professional Park DrConway, SC 29526-9260(843) 347-4473Fax: (843) 234-8951Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Vidgop, Yelana MD Provider ID: 2309865Gender: FemaleMcleod Health Loris Seacoast3655 Mitchell StLoris, SC 29569-2827(843) 716-7000Fax: (843) 320-8322Mon - Sun 12:00 to 12:00 PCMH: No

Worthington, Ward MD Provider ID: 1191155Gender: MaleRoper St Francis Physician Partners4823 Hwy 17 N, Ste BMurrells Inlet, SC 29576-5037(843) 723-8823Fax: (843) 766-6551Mon - Fri 9:00 to 5:00 PCMH: No

Worthington, Ward MD Provider ID: 1191155Gender: MaleRoper St. Francis Physician Partner4835 Hwy 17 N Bypass, Ste BMurrells Inlet, SC 29576-5037(843) 723-8823Fax: (843) 766-6551Mon - Fri 9:00 to 5:00 PCMH: No

Neurosurgery

Bailey, Byron MD Provider ID: 1191173Gender: MaleRoper St Francis Physician Partners4823 Hwy 17 N, Ste BMurrells Inlet, SC 29576-5037(843) 723-8823Fax: (843) 766-6551Mon - Fri 9:00 to 5:00 PCMH: No

Cheatle, Joseph MD Provider ID: 2022728Gender: MaleGrand Strand Specialty Associates849 82nd PkwyMyrtle Beach, SC 29572-4614(843) 449-2336Fax: (849) 497-0625Mon - Fri 8:00 to 5:00 PCMH: No



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Neurosurgery - cont.

Cuddy, Brian MD Provider ID: 1190713Roper St Francis Physician Partners4823 Hwy 17 N, Ste BMurrells Inlet, SC 29576-5037(843) 723-8823Fax: (843) 766-6551Mon - Fri 9:00 to 5:00 PCMH: No

Eggart, Malcolm MD Provider ID: 1560684Gender: MaleMusc Health Partners4040 Highway 17, Ste 306Murrells Inlet, SC 29576-5098(843) 357-0083Fax: (843) 357-0088Mon - Fri 8:00 to 5:00 PCMH: No

Giddens, Eugene MD Provider ID: 812979Gender: MaleGrand Strand Speciality Associates849 82nd PkwyMyrtle Beach, SC 29572-4614(843) 497-6348Fax: (843) 497-0625Grand Strand Regional Medical CenterMon - Thu 8:00 to 5:00 Fri 8:00 to 3:00 PCMH: No

Khoury, George MD Provider ID: 1190883Gender: MaleRoper St Francis Physician Partners4823 Hwy 17 N, Ste BMurrells Inlet, SC 29576-5037(843) 723-8823Fax: (843) 766-6551Mon - Fri 9:00 to 5:00 PCMH: No

Pacult, Arthur MD Provider ID: 1191014Gender: MaleRoper St. Francis Physician Partner4835 Hwy 17 N Bypass, Ste BMurrells Inlet, SC 29576-5037(843) 723-8823Fax: (843) 766-6551Mon - Fri 9:00 to 5:00 PCMH: No

Pacult, Arthur MD Provider ID: 1191014Gender: MaleRoper St Francis Physician Partners4823 Hwy 17 N, Ste BMurrells Inlet, SC 29576-5037(843) 723-8823Fax: (843) 766-6551Mon - Fri 9:00 to 5:00 PCMH: No

Smith, James MD Provider ID: 2287683Gender: MaleGrand Strand Spine Neurology920 Doug White Dr, Ste 460Myrtle Beach, SC 29572-4182(843) 449-2336Fax: (843) 497-0625Mon - Fri 8:00 to 5:00 PCMH: No

Steichen, John MD Provider ID: 1191096Gender: MaleRoper St. Francis Physician Partner4835 Hwy 17 N Bypass, Ste BMurrells Inlet, SC 29576-5037(843) 723-8823Fax: (843) 766-6551Mon - Fri 9:00 to 5:00 PCMH: No

Stuart, Robert MD Provider ID: 1191097Gender: MaleRoper St Francis Physician Partners4823 Hwy 17 N, Ste BMurrells Inlet, SC 29576-5037(843) 723-8823Fax: (843) 766-6551Mon - Fri 9:00 to 5:00 PCMH: No


Alo, Olubunmi MD Provider ID: 1232823Gender: FemaleCmc Women's Health Towne Center5010 Carolina Forest BlvdMyrtle Beach, SC 29579(843) 903-1010Fax: (843) 903-1015Mon - Tue 9:00 to 5:00 Wed - Thu 9:00 to 5:30 Fri 9:00 to 1:00 PCMH: No

Billue, David MD Provider ID: 2022658Gender: MaleCoastal Carolina Primary Care LLC839 82nd ParkwayMyrtle Beach, SC 29572(843) 236-1950Fax: (843) 236-1952Mon - Fri 8:00 to 5:00 PCMH: No

Carter, Xaviera MD Provider ID: 901889Gender: FemaleTidelands Health Womens Center4320 Holmestown RdMyrtle Beach, SC 29588-7837(843) 652-8440Fax: (843) 652-8441Mon - Fri 9:00 to 5:00 PCMH: No

Dunn, Kathleen MD Provider ID: 2206534Gender: FemaleCmc Women's Health Conway2376 Cypress Cir, Ste 200Conway, SC 29526-8994(843) 347-7216Fax: (843) 347-7218Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:30 PCMH: No



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Eames, Lacey DO Provider ID: 2322254Gender: FemaleCmc Women's Health Conway2376 Cypress Cir, Ste 200Conway, SC 29526-8994(843) 347-7216Fax: (843) 347-7218Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:30 PCMH: No

Grady, Cynthia MD Provider ID: 1981735Gender: FemaleHealth Care Partners Of South Carol1608 Main StConway, SC 29526-3572(843) 248-4700Mon - Sat 8:00 to 5:00 PCMH: No

Harford, Janelle MD Provider ID: 1611452Gender: FemaleCoastal Carolina OBGYN620 Singleton Ridge RdConway, SC 29526-9154(843) 349-0100Fax: (843) 349-0104Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Heineck, Robert MD Provider ID: 1767960Gender: MaleGeorgetown Physician Associates Ll4320 Holmestown RdMyrtle Beach, SC 29588(843) 546-3132Fax: (843) 546-2268Mon - Wed, Fri 9:00 to 5:00 Thu 9:00 to 4:00 PCMH: No

Keisler, Lydia MD Provider ID: 1853612Gender: FemaleElite Pain Management LLC8212 Devon CtMyrtle Beach, SC 29572-4178(843) 273-0376Fax: (843) 273-4516Mon - Fri 8:00 to 5:00 PCMH: No

King, Merritt MD Provider ID: 938098Gender: MaleMcleod Ob Gyn Seacoast3617 Casey St, Ste ALoris, SC 29569-2981(843) 756-7090Fax: (843) 756-0043Mcleod Loris Seacoast HoMon - Fri 8:00 to 5:00 PCMH: No

King, Merritt MD Provider ID: 938098Gender: MaleMcleod Ob Gyn Seacoast3980 Highway 9 E, Ste 110Little River, SC 29566-8163(843) 399-3100Fax: (843) 399-1099Mcleod Loris Seacoast HoMon - Fri 8:00 to 5:00 PCMH: No

Koike, Jun MD Provider ID: 1720902Gender: MaleHealth Care Partners Of South Carol1608 Main StConway, SC 29526-3572(843) 248-4700Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Kolb, Cynthia MD Provider ID: 774288Gender: FemaleMcleod Ob/Gyn Seacoast3980 Highway 9 E, Ste 110Little River, SC 29566-8163(843) 399-3100Fax: (843) 399-1099Mon - Fri 9:00 to 5:00 PCMH: No

Kolb, Cynthia MD Provider ID: 774288Gender: FemaleMcleod Ob/Gyn Seacoast3617 Casey StreetLoris, SC 29569-2981(843) 399-3100Fax: (843) 399-1099Mon - Fri 9:00 to 5:00 PCMH: No

Lasry, Valerie MD Provider ID: 1603506Gender: FemaleCarolina Ob/Gyn4017 Highway 17Murrells Inlt, SC 29576-5032(843) 651-6525Fax: (843) 357-0768Mon - Fri 9:00 to 5:00 PCMH: No

Martinez, Eduardo MD Provider ID: 1706525Gender: MaleGeorgetown Physician Associates Ll4320 Holmestown RdMyrtle Beach, SC 29588-7837(843) 652-8440Fax: (843) 652-8441Languages: SpanishMon - Fri 9:00 to 5:00 PCMH: No



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Maselli, Lisa MD Provider ID: 1603510Gender: FemaleCarolina Ob/Gyn4017 Highway 17Murrells Inlt, SC 29576-5032(843) 651-6525Fax: (843) 357-0768Mon - Fri 9:00 to 5:00 PCMH: No

Mccauley, Chris MD Provider ID: 772306Gender: MaleNorth Strand OBGYN3617 Casey St, Ste ALoris, SC 29569-2981(843) 756-7090Fax: (843) 756-0043Mon - Fri 8:00 to 5:00 PCMH: No

Mccauley, Chris MD Provider ID: 772306Gender: MaleNorth Strand OBGYN3980 Highway 9 E, Ste 110Little River, SC 29566(843) 399-1099Fax: (843) 756-0043PCMH: No

Mccauley, Chris MD Provider ID: 818196Gender: MaleMcleod Ob Gyn Seacoast3980 Highway 9 E, Ste 110Little River, SC 29566-8163(843) 399-3100Fax: (843) 399-1099Mcleod Loris Seacoast HoMon - Thu 9:00 to 5:00 Fri 9:00 to 1:00 PCMH: No

Mccauley, Chris MD Provider ID: 818196Gender: MaleMcleod OBGYN Seacoast3617 Casey St, Ste ALoris, SC 29569-2981(843) 756-7090Fax: (843) 756-0043Mcleod Loris Seacoast HoMon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Richmond, Gayle MD Provider ID: 1606608Gender: FemaleCarolina Ob Gyn4017 Highway 17Murrells Inlt, SC 29576-5032(843) 651-6525Fax: (843) 357-0768Mon - Fri 9:00 to 5:00 PCMH: No

Schindler, Joycelyn MD Provider ID: 970568Gender: FemaleMcleod Ob Gyn Seacoast3617 Casey St, Ste ALoris, SC 29569-2981(843) 756-7090Fax: (843) 756-0043Mcleod Loris Seacoast HoLanguages: TagalogMon - Fri 8:00 to 5:00 PCMH: No

Schindler, Joycelyn MD Provider ID: 970568Gender: FemaleMcleod OBGYN Seacoast3980 Highway 9 E, Ste 110Little River, SC 29566(843) 399-3100Fax: (843) 399-1099Mcleod Loris Seacoast HoLanguages: TagalogMon - Fri 8:00 to 5:00 PCMH: No

Washington, Dode MD Provider ID: 772441Gender: FemaleCoastal Carolina OBGYN620 Singleton Ridge RdConway, SC 29526(843) 349-0100Fax: (843) 349-0104Mon - Fri 9:00 to 5:00 PCMH: No

Wotherspoon, Barbara MD Provider ID: 1712770Gender: FemaleElite Pain Management LLC4237 River Hills Dr, Ste 170Little River, SC 29566-6446(843) 273-0376Fax: (843) 273-4516Mon - Fri 9:00 to 5:30 PCMH: No

Ophthalmology

Marchase, Nicholas MD Provider ID: 2226599Gender: MaleSouth Carolina Retina Institute LLC1404 Main StConway, SC 29526-3567(843) 488-1100Fax: (843) 488-7701Mon - Thu 9:00 to 4:00 Fri 9:00 to 12:00 PCMH: No

Phillips, Stephen MD Provider ID: 771734Gender: MaleEast Coast Retina8609 Montague LnMyrtle Beach, SC 29588(843) 215-3363Fax: (843) 215-7201Mon, Wed - Thu 7:00 to 3:00 Tue 9:00 to 5:00 Fri 7:00 to 1:00 PCMH: No



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Proctor, Charles MD Provider ID: TPVPROC03-01Gender: MaleVaught Eye Associates Pa1406 Main StreetConway, SC 29526(843) 488-2020Fax: (843) 488-9659Mon - Tue, Thu 8:00 to 5:00 PCMH: No

Sandoz, George MD Provider ID: 1224713Gender: MaleCmc Neurology124 Professional Park DrConway, SC 29526(843) 347-4473Fax: (843) 234-8951Languages: Portuguese, SpanishMon - Thu 8:30 to 5:00 Fri 8:30 to 1:00 PCMH: No

Seltzer, Samuel MD Provider ID: 1899328Gender: MaleClemson Eye Pa3819 Main StLoris, SC 29569(843) 664-9393Fax: (843) 664-2301Mon - Fri 8:00 to 4:30 PCMH: No

Seltzer, Samuel MD Provider ID: 770236Gender: MaleCarolinas Centers For Sight PC3819 Main StLoris, SC 29569-3017(843) 664-9393Fax: (843) 662-9261Mon - Fri 8:00 to 4:30 PCMH: No

Optician

Coastal Vision Center Inc Provider ID: TPVCOAS02-011651 Glenns Bay RoadMyrtle Beach, SC 29575(843) 650-2400Fax: (843) 650-2525Mon - Fri 8:00 to 5:30 PCMH: No

Eyemart Express LLC Provider ID: TPVEYEM20-081370 South Commons Drive, Suite 102Myrtle Beach, SC 29588(843) 353-6751Fax: (843) 650-9695Mon - Fri 9:00 to 7:00 Sat 9:00 to 5:00 PCMH: No

Mgb Eyes Inc Provider ID: TPVCRAV02-01350 Seaboard StreetMyrtle Beach, SC 29577(843) 839-2233Fax: (843) 839-0137Mon - Fri 9:00 to 6:00 Sat 10:00 to 4:00 PCMH: No

Walmart Vision Center Provider ID: TPVWALM40-0210820 North Kings Highway, Walmart Vision Center 643Myrtle Beach, SC 29572(843) 449-4626Fax: (843) 692-0409Mon - Fri 9:00 to 7:00 Sat 9:00 to 6:00 PCMH: No

Walmart Vision Center Provider ID: TPVWALM40-242709 Church Street Suite A, Walmart Vision Center 586Conway, SC 29526(843) 365-0739Fax: (843) 365-0751Mon - Fri 9:00 to 6:00 Sat 9:00 to 5:00 PCMH: No

Walmart Vision Center Provider ID: TPVWALM40-38541 Seaboard Street, Walmart Vision Center 2712Myrtle Beach, SC 29577(843) 448-5791Fax: (843) 448-2992Mon - Fri 9:00 to 7:00 Sat 9:00 to 6:00 Sun 12:00 to 5:00 PCMH: No

Walmart Vision Center Provider ID: TPVWALM40-40550 Highway 17 North, Walmart Vision Center 5087North Myrtle Beach, SC 29582(843) 281-8073Fax: (843) 281-8084Mon - Fri 9:00 to 7:00 Sat 9:00 to 5:00 PCMH: No

Walmart Vision Center Provider ID: TPVWALM40-502751 Beaver Run Boulevard, Walmart Vision Center 574Myrtle Beach, SC 29575(843) 215-3694Fax: (843) 215-3738Mon - Fri 9:00 to 7:00 Sat 9:00 to 6:00 Sun 12:00 to 5:00 PCMH: No

Walmart Vision Center Provider ID: TPVWALM40-74545 Garden City Connector, Walmart Vision Center 5705Murrells Inlet, SC 29576(843) 357-0382Fax: (843) 357-0376Mon - Fri 9:00 to 7:00 Sat 9:00 to 5:00 PCMH: No



37719585


Horry

Optometry

Allouch, Fouad OD Provider ID: TPVALLO04-02Gender: MaleAllouch Optometric PC2703 North Kings HighwayMyrtle Beach, SC 29577(843) 448-1596Fax: (843) 448-4793Mon - Fri 9:00 to 5:00 Sat 9:00 to 3:00 PCMH: No

Allouch, Fouad OD Provider ID: TPVALLO04-03Gender: MaleAllouch Optometric PC706 Sea Mountain HighwayNorth Myrtle Beach, SC 29582(843) 249-8440Fax: (843) 280-5388Mon - Fri 9:00 to 5:00 PCMH: No

Bittner, Benjamin OD Provider ID: TPVBITT09-01Gender: MaleBenjamin J Bittner Od Inc541 Seaboard StreetMyrtle Beach, SC 29577(843) 444-8280Fax: (843) 668-2878Mon - Fri 8:30 to 5:00 PCMH: No

Bittner, Benjamin OD Provider ID: TPVBITT09-02Gender: MaleBenjamin J Bittner Od Inc10820 Kings RoadMyrtle Beach, SC 29572(843) 444-8280Fax: (843) 668-2878Fri 8:30 to 5:00 PCMH: No

Bittner, Benjamin OD Provider ID: TPVBITT09-03Gender: MaleBenjamin J Bittner Od Inc1946 Mr Joe White AvenueMyrtle Beach, SC 29577(843) 443-6000Fax: (843) 443-6002Mon, Wed - Thu 10:00 to 5:30 PCMH: No

Bittner, Benjamin OD Provider ID: TPVBITT09-04Gender: MaleBenjamin J Bittner Od Inc9403 Highway 707, Unit CMyrtle Beach, SC 29588(843) 443-6000Fax: (843) 668-2878Mon - Thu 9:00 to 5:00 PCMH: No

Bodofsky, Gary OD Provider ID: TPVBODO01-01Gender: MaleGary Bodofsky1006 Church Street, Suite AConway, SC 29526(843) 248-5513Fax: (843) 248-2733Mon - Tue, Thu - Fri 8:30 to 5:00 Wed 8:30 to 12:30 PCMH: No

Bodofsky, Gary OD Provider ID: TPVBODO01-02Gender: MaleGary Bodofsky2014 Highway 17 NorthSurfside Beach, SC 29575(843) 238-2020Fax: (843) 238-4443Mon - Tue, Thu 8:30 to 5:00 Wed 8:30 to 1:00 Fri 10:00 to 3:30 PCMH: No

Caugh, Kurtis OD Provider ID: TPVCAUG01-01Gender: MaleKurtis Caugh Od550 Highway 17 NorthNorth Myrtle Beach, SC 29582(843) 281-8181Fax: (843) 281-9009Mon - Tue, Thu - Fri 9:00 to 5:00 Wed 10:00 to 6:00 PCMH: No

Coker, James OD Provider ID: TPVCOKE02-03Gender: MaleCoastal Vision Center Inc1651 Glenns Bay RoadMyrtle Beach, SC 29575(843) 650-2400Fax: (843) 650-2525Mon - Fri 8:00 to 5:30 PCMH: No

Collette, David OD Provider ID: TPVCOLL12-03Gender: MaleBenjamin J Bittner Od Inc541 Seaboard StreetMyrtle Beach, SC 29577(843) 444-8280Fax: (843) 668-2878Mon - Fri 8:30 to 5:00 PCMH: No

Collette, David OD Provider ID: TPVCOLL12-04Gender: MaleBenjamin J Bittner Od Inc1946 Mr Joe White AvenueMyrtle Beach, SC 29577(843) 443-6000Fax: (843) 443-6002Mon, Wed - Thu 9:30 to 5:30 PCMH: No



37719585


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Optometry - cont.

Creson, Stuart OD Provider ID: TPVCRES02-01Gender: MaleStuart Creson2751 Beaver Run BoulevardMyrtle Beach, SC 29575(843) 215-0101Fax: (843) 215-0113Mon - Sat 9:00 to 5:00 PCMH: No

Dean, Mark OD Provider ID: TPVDEAN08-01Gender: MaleSocastee Eye Clinic4885 Socastee BoulevardMyrtle Beach, SC 29588(843) 293-8101Fax: (843) 293-8102Mon - Fri 8:30 to 5:30 PCMH: No

Dean, Mark OD Provider ID: TPVDEAN08-02Gender: MaleMark T Dean Od4886 Socastee BoulevardMyrtle Beach, SC 29588(843) 293-1555Fax: (866) 223-6207Mon - Thu 9:00 to 5:00 PCMH: No

Diamond, Jason OD Provider ID: TPVDIAM02-03Gender: MaleEye Associates Of Little River LLC3700 Sawtell Road, Suite BLittle River, SC 29566(843) 390-0058Fax: (843) 390-0999Mon - Thu 8:30 to 5:00 Fri 8:30 to 1:00 PCMH: No

Graham, Lauri OD Provider ID: TPVGRAH04-03Gender: FemaleDistinctive Eyewear Vision Center1370 South Commons Drive, Suite 102Myrtle Beach, SC 29588(843) 213-1201Fax: (843) 650-9697Mon - Tue, Thu - Fri 9:30 to 5:30 Sat 9:30 to 2:00 PCMH: No

Kozel-Diamond, Sandra OD Provider ID: TPVKOZE01-02Gender: FemaleEye Associates Of Little River LLC3700 Sawtell Road, Suite BLittle River, SC 29566(843) 390-0058Fax: (843) 390-0999Mon - Thu 8:30 to 5:00 Fri 8:30 to 1:00 PCMH: No

Lee, Amanda OD Provider ID: TPVLEE97-02Gender: FemaleSeaside Eye Associates Pa109 Finnegan CourtMyrtle Beach, SC 29579(843) 903-0949Fax: (843) 903-1101Mon - Fri 9:00 to 5:00 Sat 9:00 to 2:00 PCMH: No

Merhi, Eva OD Provider ID: 1083097Gender: FemaleOptic Gallery LLC4036 River Oaks Dr, Ste B-8Myrtle Beach, SC 29579-6695(843) 236-2500Fax: (843) 236-2575Languages: SpanishMon - Fri 9:00 to 5:00 Sat 10:00 to 4:00 PCMH: No

Merhi, Eva OD Provider ID: TPVMERH01-02Gender: FemaleOptic Gallery LLC4036 River Oaks Drive, Suite B 8Myrtle Beach, SC 29579(843) 236-2500Fax: (843) 236-2575Mon - Thu 9:00 to 5:00 Fri 9:00 to 4:00 PCMH: No

Mills, Michael OD Provider ID: TPVMILL52-01Gender: MaleDr Michael L Mills Pa3420 Broad StreetLoris, SC 29569(843) 756-6919Fax: (843) 756-6900Mon - Tue, Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Poole, R Gary OD Provider ID: TPVPOOL01-03Gender: MaleBergelt Optometric LLC2709 Church StreetConway, SC 29526(843) 369-3937Fax: (843) 369-3337Mon - Sat 9:00 to 5:00 PCMH: No

Poole, R Gary OD Provider ID: TPVPOOL01-05Gender: MaleBergelt Optometric LLC545 Garden City ConnectorMurrells Inlet, SC 29576(843) 651-4676Fax: (843) 432-3189Tue, Thu 9:00 to 5:00 Sat 9:00 to 1:00 PCMH: No



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Optometry - cont.

Poston, Jerd OD Provider ID: TPVPOST02-02Gender: MaleCoastal Vision Center Inc1651 Glenns Bay RoadSurfside Beach, SC 29575(843) 650-2400Fax: (843) 650-2525Mon - Fri 8:00 to 5:30 PCMH: No

Siegmund, Kelle OD Provider ID: TPVSIEG14-01Gender: FemaleBergelt Optometric LLC2709 Church Street, Suite AConway, SC 29526(843) 369-3937Fax: (843) [email protected] - Fri 9:00 to 5:00 PCMH: No

Smith, Franklin OD Provider ID: TPVSMIT41-01Gender: MaleFraklin N Smith Od4221 Mayfair Street, Smith Eye AssociatesMyrtle Beach, SC 29577(843) 448-6630Fax: (843) 448-5567Mon - Thu 7:30 to 5:00 PCMH: No

Thomas, Shawn OD Provider ID: TPVTHOM30-05Gender: MaleEastern Eye Care11947 Grandhaven Drive, Unit MMurrells Inlet, SC 29576(843) 299-2485Fax: (843) 299-2486Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:00 PCMH: No

Turbeville, Lisa OD Provider ID: TPVTURB01-02Gender: FemaleCoastal Vision Center Inc1651 Glenns Bay RoadSurfside Beach, SC 29575(843) 650-2400Fax: (843) 650-2525Mon - Fri 8:00 to 5:30 PCMH: No

Vaught, James OD Provider ID: 934664Gender: MaleVaught Eye Associates1406 Main StConway, SC 29526-3567(843) 488-2020Fax: (843) 488-9659Languages: SpanishMon - Fri 8:00 to 6:00 Sat 8:00 to 12:00 PCMH: No

Vaught, James OD Provider ID: 952283Gender: MaleVaught Eye Associates1406 Main StConway, SC 29526-3567(843) 488-2020Fax: (843) 488-9659Languages: SpanishMon - Fri 8:00 to 6:00 Sat 8:00 to 12:00 PCMH: No

Vaught, James OD Provider ID: TPVVAUG08-01Gender: MaleVaught Eye Associates Pa1406 Main StreetConway, SC 29526(843) 488-2020Fax: (843) 488-9659Mon - Fri 7:00 to 7:00 Sat 8:00 to 12:00 PCMH: No

Vaught, James Dylan OD Provider ID: TPVVAUG09-01Gender: MaleVaught Eye Associates Pa1406 Main StreetConway, SC 29526(843) 488-2020Fax: (843) 488-9659Mon, Thu 7:00 to 8:00 Tue - Wed, Fri 7:00 to 6:00 Sat 8:00 to 12:00 PCMH: No

Vaught, Heather OD Provider ID: TPVVAUG17-01Gender: FemaleVaught Eye Associates Pa1406 Main StreetConway, SC 29526(843) 488-0141Fax: (843) 488-9659Mon - Fri 7:00 to 7:00 Sat 8:00 to 12:00 PCMH: No

Weiner, Edward OD Provider ID: TPVWEIN28-01Gender: MaleVaught Eye Associates Pa1406 Main StreetConway, SC 29526(843) 488-2020Fax: (843) 488-9659Mon - Fri 7:00 to 7:00 Sat 8:00 to 12:00 PCMH: No

Williams, Ryan OD Provider ID: TPVWILL53-01Gender: MaleSocastee Eye Clinic4885 Socastee BoulevardMyrtle Beach, SC 29588(843) 293-8101Fax: (843) 293-8102Mon - Fri 8:30 to 5:30 PCMH: No



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Optometry - cont.

Wise, Garett OD Provider ID: 936969Gender: MaleVaught Eye Associates1406 Main StConway, SC 29526-3567(843) 488-2020Fax: (843) 488-9659Mon - Fri 8:00 to 6:00 Sat 8:00 to 12:00 PCMH: No

Wise, Garett OD Provider ID: TPVWISE11-01Gender: MaleVaught Eye Associates Pa1406 Main StreetConway, SC 29526(843) 488-2020Fax: (843) 488-9659Mon - Fri 7:00 to 7:00 Sat 8:00 to 12:00 PCMH: No

Zeplin, Vincent OD Provider ID: TPVZEPL01-18Gender: MaleGreenwood Family Eyecare Inc10820 Kings RoadMyrtle Beach, SC 29572(843) 449-4626Fax: (843) 692-0409Mon - Fri 9:00 to 7:00 Sat 9:00 to 6:00 PCMH: No

Orthopaedic Surgery

Boullion, Christopher DO Provider ID: 875509Gender: MaleGrand Strand Surgical Associates849 82nd PkwyMyrtle Beach, SC 29572-4614(843) 497-6348Fax: (843) 497-0625Grand Strand Regional Medical CenterMon - Thu 8:00 to 5:00 Fri 8:00 to 3:00 PCMH: No

Boullion, Christopher DO Provider ID: 875509Gender: MaleGrand Strand Specialty Associates8170 Rourk StMyrtle Beach, SC 29572-4127(843) 449-2336Fax: (843) 692-2174Grand Strand Regional Medical CenterMon - Thu 8:00 to 5:00 Fri 8:00 to 3:00 PCMH: No

Cook, Todd MD Provider ID: 1163725Gender: MaleCarolina Orthopaedic Specialists3545 Highway 17, Ste 200Murrells Inlet, SC 29576(843) 294-1941Fax: (843) 294-1945Mon - Thu 8:00 to 5:00 Fri 8:00 to 3:00 PCMH: No

Cook, Todd MD Provider ID: 1163725Gender: MaleCarolina Orthopaedic Specialists5046 Highway 17 Byp S, Ste 202Myrtle Beach, SC 29588(843) 294-1941Fax: (843) 294-1945Mon - Thu 8:00 to 5:00 Fri 8:00 to 3:00 PCMH: No

Cook, Todd MD Provider ID: 1163725Gender: Male185 Fresh Dr, Ste BMyrtle Beach, SC 29579-4436(843) 294-1941Fax: (843) 294-1945PCMH: No

Didelot, William MD Provider ID: 1789091Gender: MaleGrand Strand Surgical Specialists8170 Rourk St, Ste 150Myrtle Beach, SC 29572-4127(843) 497-6348Fax: (843) 497-6351Mon - Fri 8:00 to 5:00 PCMH: No

Duncan V, Scott MD Provider ID: 1472090Gender: MaleGrand Strand Gme Program - Surgery8170 Rourk St, Ste 150Myrtle Beach, SC 29572-4127(843) 848-1440Fax: (843) 839-1654Mon - Thu 8:00 to 5:00 Fri 8:00 to 4:00 PCMH: No

Duncan V, Scott MD Provider ID: 1472090Gender: MaleGrand Strand Gme Program - Surgery849 82nd PkwyMyrtle Beach, SC 29572(843) 497-6348Mon - Fri 8:00 to 5:00 PCMH: No

Ellison, Thomas MD Provider ID: 1177537Gender: MaleGeorgetown Physician Associates Ll4040 Highway 17, Ste 101Murrells Inlet, SC 29576(843) 652-8160Fax: (843) 652-8161Mon - Fri 8:00 to 4:30 PCMH: No



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Ellison, Thomas MD Provider ID: 775772Gender: MaleWaccamaw Orthopaedics LLC4040 Highway 17, Ste 101Murrells Inlet, SC 29576(843) 652-8160Fax: (843) 652-8161Mon - Fri 9:00 to 5:00 PCMH: No

Greer, William MD Provider ID: 1186612Gender: MaleGeorgetown Physician Associates Ll4040 Highway 17, Suite 101Murrells Inlet, SC 29576(843) 652-8160Fax: (843) 652-8161Mon - Fri 8:00 to 4:30 PCMH: No

Heimberger, Eric MD Provider ID: 964165Gender: MaleMcleod Orthopaedics Seacoast3980 Highway 9 E, Ste 200Little River, SC 29566-8164(843) 390-0100Fax: (843) 390-0038Mcleod Loris Seacoast HoMon - Fri 8:00 to 5:00 PCMH: No

Lewis, Jesse MD Provider ID: 1523810Gender: MaleGeorgetown Physician Associates Ll4040 Highway 17, Unit 101Murrells Inlet, SC 29576-5098(843) 652-8160Fax: (843) 520-8365Mon - Fri 8:00 to 4:30 PCMH: No

Lukowski, Peter MD Provider ID: 1032984Gender: MaleMcleod Orthopaedics Seacoast3980 Highway 9 E, Ste 200Little River, SC 29566-8164(843) 390-0100Fax: (843) 390-0038Mcleod Loris Seacoast HoMon - Fri 8:00 to 5:00 PCMH: No

Lukowski, David MD Provider ID: 776517Gender: MaleMcleod Orthopaedic Associates3980 Highway 9 E, Ste 200Little River, SC 29566-8164(843) 390-0100Fax: (843) 390-0038Mon - Fri 9:00 to 5:00 PCMH: No

Mikol, Edward MD Provider ID: 769887Gender: MaleCarolina Orthopedic Specialists LLC3515 Caduceus Dr, Ste BMyrtle Beach, SC 29588(843) 294-1941Fax: (843) 294-1945Mon, Wed 8:00 to 5:00 Tue, Thu 9:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Putman, Stephen MD Provider ID: 1174496Gender: MaleCarolina Orthopaedic Specialists5046 Highway 17 Byp S, Ste 202Myrtle Beach, SC 29588(843) 294-1941Fax: (843) 294-1945Mon 8:00 to 12:00 Tue, Thu 8:00 to 5:00 PCMH: No

Putman, Stephen MD Provider ID: 1174496Gender: MaleCarolina Orthopaedic Specialists3545 Highway 17, Ste 200Murrells Inlet, SC 29578(843) 294-1941Fax: (843) 294-1945Mon - Thu 8:00 to 5:00 Fri 8:00 to 3:00 PCMH: No

Putman, Jesse DO Provider ID: 2323121Gender: MaleGrand Strand Orthopedic Care920 Doug White Dr, Ste 120Myrtle Beach, SC 29572-4180(843) 848-1440Fax: (843) 839-1654Mon - Fri 8:00 to 5:00 PCMH: No

Single, Daniel MD Provider ID: 1186606Gender: MaleGeorgetown Physician Associates Ll4040 Highway 17, Suite 101Murrells Inlet, SC 29576(843) 652-8160Fax: (843) 652-8161Mon - Fri 8:30 to 5:00 PCMH: No

Taylor, Ross MD Provider ID: 1655085Gender: MaleMcleod Orthopaedics Seacoast3980 Highway 9 E, Ste 200Little River, SC 29566-8164(843) 390-0100Fax: (843) 390-0038Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No



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Walsh, Christopher MD Provider ID: 1501428Gender: MaleMcleod Orthopaedics Seacoast3980 Highway 9 E, Ste 200Little River, SC 29566-8164(843) 390-0100Fax: (843) 390-0038Mon - Fri 8:00 to 5:00 PCMH: No

Whiteside, William MD Provider ID: 1420278Gender: MaleGeorgetown Physician Associates Ll4040 Highway 17, Unit 101Murrells Inlet, SC 29576-5098(843) 652-8160Fax: (843) 652-8161Mon - Fri 8:00 to 4:30 PCMH: No

Young, Richard MD Provider ID: 774595Gender: MaleSenside Orthopaedic Clinic2021 N Myrtle PT Blvd, Ste 104North Myrtle Beach, SC 29582(843) 663-2663Fax: (910) 575-9103Mon - Fri 8:00 to 5:00 PCMH: No

Pain Management

Tonkin, David MD Provider ID: 1462902Gender: MaleElite Pain Management LLC4237 River Hill Dr, Ste 170Little River, SC 29566(843) 273-0376Fax: (843) 273-4515Mon - Fri 8:00 to 5:00 PCMH: No

Tonkin, David MD Provider ID: 1462902Gender: MaleElite Pain Management LLC8212 Devon CtMyrtle Beach, SC 29572-4178(843) 273-0376Fax: (843) 273-4516Mon - Fri 8:30 to 5:00 PCMH: No

Pediatric Surgery

Morgan, Ross MD Provider ID: 1856193Gender: MaleGrand Strand Surgical Specialists849 82nd PkwyMyrtle Beach, SC 29572-4614(407) 540-1000Fax: (407) 540-1011Mon - Thu 8:00 to 5:00 Fri 8:00 to 4:00 PCMH: No

Pediatrics

Bitar, Anas MD Provider ID: 2224334Gender: MaleGrand Strand Surgical Specialists920 Doug White Dr, Ste 150Myrtle Beach, SC 29572-4181(843) 497-6348Fax: (843) 497-6351Mon - Fri 8:00 to 5:00 PCMH: No

Hall, Megan DO Provider ID: 2177117Gender: FemaleCmc Pediatrics Towne Center5010 Carolina Forest BlvdMyrtle Beach, SC 29579-3579(843) 236-2700Fax: (843) 236-2726Mon - Fri 8:00 to 5:00 Sat - Sun 8:00 to 11:30 PCMH: No

Wakefield, Hannah MD Provider ID: 2352706Gender: FemaleHealth Care Partners Of South Carol1608 Main StConway, SC 29526-3572(843) 488-6030Fax: (877) 322-0181Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No


Muresan, Horatiu MD Provider ID: 1563989Gender: MaleGrand Strand Surgical Specialists199 Village Center Blvd, Ste 100Myrtle Beach, SC 29579-3589(843) 903-6459Mon - Thu 8:00 to 5:00 Fri 8:00 to 4:00 PCMH: No

Muresan, Horatiu MD Provider ID: 1563989Gender: MaleGrand Strand Surgical Specialists8170 Rourk St, Ste 150Myrtle Beach, SC 29572-4127(843) 848-1440Fax: (843) 839-1654Mon - Thu 8:00 to 5:00 Fri 8:00 to 4:00 PCMH: No

Muresan, Horatiu MD Provider ID: 1563989Gender: MaleGrand Strand Surgical Specialists849 82nd PkwyMyrtle Beach, SC 29572-4614(843) 497-6348Fax: (843) 497-6351Mon - Thu 8:00 to 5:00 Fri 8:00 to 4:00 PCMH: No



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Plastic & Reconstructive Surgery -

cont.

White, Steven MD Provider ID: 769848Gender: MaleCarolina Coastal Plastic And Recon1275 21st Ave N, Building 1Myrtle Beach, SC 29577(843) 448-9977Fax: (843) 626-7755Languages: FrenchMon - Thu 8:00 to 5:00 Fri - Sat 8:00 to 12:00 PCMH: No

Podiatry

Garland, Frederick DPM Provider ID: 2348491Gender: MaleBeachside Podiatry767 Wintercreeper DrLongs, SC 29568-9229(843) 653-0768Mon - Fri 9:00 to 5:00 PCMH: No

Myers, William MD Provider ID: 1427340Gender: MaleMyers Podiatry Clinic124 Porfessional Park DrConway, SC 29526(843) 347-3334Fax: (843) 347-1393Mon, Wed, Fri 9:00 to 5:00 Tue, Thu 8:30 to 5:00 PCMH: No

Myers, William MD Provider ID: 1427340Gender: MaleMyers Podiatry Clinic912 Inlet Square DrMurrells Inlet, SC 29576(843) 347-3334Fax: (843) 431-2786Mon, Wed, Fri 9:00 to 5:00 Tue, Thu 8:30 to 5:00 PCMH: No

Psychiatry

Carrera-Alvarez, Amanda MD Provider ID: 1795343Gender: FemaleCoastal Carolina Primary Care LLC809 82nd PkwyMyrtle Beach, SC 29572-4607(843) 291-7181Mon - Fri 8:00 to 5:00 PCMH: No

Cluver, Jeffrey MD Provider ID: 2232286Gender: MaleGrand Strand Behavioral Health809 82nd PkwyMyrtle Beach, SC 29572-4607(843) 291-7182Fax: (843) 291-7182Mon - Fri 8:00 to 5:00 PCMH: No

Czepowicz, Violetta MD Provider ID: 2022803Gender: FemaleCoastal Carolina Primary Care LLC809 82nd ParkwayMyrtle Beach, SC 29572(843) 291-7182Fax: (843) 291-7182Mon - Fri 8:00 to 5:00 PCMH: No

Lilly, Brandon MD Provider ID: 2129459Gender: MaleCoastal Carolina Primary Care LLC809 82nd PkwyMyrtle Beach, SC 29572-4607(843) 291-7182Fax: (843) 291-7182Mon - Fri 8:00 to 5:00 PCMH: No

Lynn, Christina MD Provider ID: 2023390Gender: FemaleCoastal Carolina Primary Care LLC809 82nd ParkwayMyrtle Beach, SC 29572(843) 291-7182Fax: (843) 291-7182Mon - Fri 8:00 to 5:00 PCMH: No

Moore, Barry MD Provider ID: 2264536Gender: MaleSandhills Integrated Care3993 Meeting StLoris, SC 29569-3053(909) 851-9120Fax: (919) 751-9170Mon - Fri 8:00 to 5:00 PCMH: No

Oduwole, Adedapo MD Provider ID: 908539Gender: MaleMofdaps And Company1203 48th Ave N, Ste 202Myrtle Beach, SC 29577-5425(843) 449-2576Fax: (843) 449-6851Languages: YorubaMon - Fri 9:00 to 6:00 PCMH: No

Parmar, Meenakshi MD Provider ID: 1789015Gender: FemaleCoastal Carolina Primary Care LLC809 82nd PkwyMyrtle Beach, SC 29572-4607(843) 291-7181Fax: (843) 692-1793Mon - Fri 8:00 to 5:00 PCMH: No



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Psychiatry - cont.

Roberson, Caroljane MD Provider ID: 2321791Gender: FemaleGrand Strand Behavioral Health809 82nd PkwyMyrtle Beach, SC 29572-4607(843) 291-7182Fax: (843) 291-7182Mon - Fri 8:00 to 5:00 PCMH: No

Shissias, Charles MD Provider ID: 2287554Gender: MaleGrand Strand Behavioral Health5050 Highway 17 Byp SMyrtle Beach, SC 29588-4500(843) 839-6090Fax: (843) 497-8305Mon - Fri 8:00 to 5:00 PCMH: No

Psychology

Norton, Laura PHD Provider ID: 1139001Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 4:30 PCMH: No

Pulmonary Disease

Ali, Hamed MD Provider ID: 771818Gender: MaleCarolina Health Specialists809 82nd PkwyMyrtle Beach, SC 29572(843) 497-5929Mon - Fri 9:00 to 5:00 PCMH: No

Chandler, Thomas MD Provider ID: 774023Gender: MaleInlet Pulmonary Critical Care And S4057 Highway 17Murrells Inlet, SC 29576(843) 235-3131Fax: (843) 237-9797Mon, Wed, Fri 9:00 to 5:00 Tue, Thu 9:00 to 2:30 PCMH: No

Dineen, Kevin MD Provider ID: 1330257Gender: MaleMcleod Pulmonary Critical Care SE107 Mcleod Health Blvd, Ste 207Myrtle Beach, SC 29579-4477(843) 390-8302Fax: (843) 390-8315Mon - Fri 8:00 to 5:00 PCMH: No

Dineen, Kevin MD Provider ID: 1330257Gender: MaleMcleod Pulmonary Critical Care Sea3617 Casey St, Ste CLoris, SC 29569-2981(843) 716-7911Fax: (843) 716-7918Mon - Fri 8:00 to 5:00 PCMH: No

Hayek, Hafez MD Provider ID: 912628Gender: Male300 Singleton Ridge RdConway, SC 29526-9142(843) 347-7111Languages: Arabic, FrenchPCMH: No

Jona, Vinod MD Provider ID: 770927Gender: MalePee Dee Cardiology Associates3485 Mitchell StLoris, SC 29569(843) 756-7029Fax: (843) 756-7033Mon - Fri 8:00 to 5:00 PCMH: No

Miara, Melissa DO Provider ID: 1923391Gender: FemaleMcleod Pulmonary & Critical Care SE3617 Casey St, Ste CLoris, SC 29569-2981(843) 716-7911Fax: (843) 716-7918Mon - Fri 8:00 to 5:00 PCMH: No

Sharma, Snigdha MD Provider ID: 2322052Gender: FemaleCmc Pulmonary And Sleep Medicine2376 Cypress Cir, Ste 100Conway, SC 29526(843) 234-6888Fax: (843) 234-6889Mon - Thu 8:30 to 5:00 Fri 8:30 to 1:00 PCMH: No

Young, Desmond MD Provider ID: 775622Gender: MaleInlet Cardiopulmonary And Asso-ciate4057 Highway 17Murrells Inlet, SC 29576(843) 235-3131Fax: (843) 237-9797Mon 11:00 to 2:30 Tue, Thu 9:00 to 5:00 Wed 10:00 to 2:30 Fri 10:00 to 1:30 PCMH: No

Radiation Oncology

Andrews, Stephen DO Provider ID: 774037Gender: MaleCarolina Regional Cancer Center4708 Oleander DrMyrtle Beach, SC 29577(843) 449-9415Fax: (843) 449-2160Mon - Fri 8:00 to 5:00 PCMH: No



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Horry

Radiation Oncology - cont.

Andrews, Stephen DO Provider ID: 774037Gender: MaleCarolina Regional Cancer Center8059 Myrtle Trace DrConway, SC 29526-8946(843) 234-5505Fax: (843) 234-5507Mon - Fri 8:00 to 5:00 PCMH: No

Francke, Patrick MD Provider ID: 774386Gender: MaleCarolina Regional Cancer Center4708 Oleander DrMyrtle Beach, SC 29577(843) 449-9415Fax: (843) 449-2160Mon - Fri 8:00 to 5:00 PCMH: No

Francke, Patrick MD Provider ID: 774386Gender: MaleCarolina Regional Cancer Center8059 Myrtle Trace DrConway, SC 29526-8946(843) 234-5505Fax: (843) 234-5507Mon - Fri 8:00 to 5:00 PCMH: No

Thurman, Sarah MD Provider ID: 1587565Gender: FemaleMusc Health Partners4033 Highway 17Murrells Inlet, SC 29576(843) 545-5600Fax: (843) 545-5660Mon - Fri 8:00 to 5:00 PCMH: No

Zaenger, David MD Provider ID: 1654694Gender: MaleCarolina Regional Cancer Center Ll4708 Oleander DrMyrtle Beach, SC 29577-5742(843) 449-9415Fax: (843) 449-2160Mon - Fri 8:00 to 5:00 PCMH: No

Zaenger, David MD Provider ID: 1654694Gender: MaleCarolina Regional Cancer Center Ll8059 Myrtle Trace DrConway, SC 29526-8946(834) 234-5505Fax: (843) 234-5507Mon - Fri 8:00 to 5:00 PCMH: No

Rheumatology

Lee, Wendy MD Provider ID: 773518Gender: FemaleCarolina Rheumatology Neurology As8220 Nigels DrMyrtle Beach, SC 29572(843) 692-0968Fax: (843) 692-2688Languages: MandarinMon 8:00 to 4:00 Tue, Fri 9:00 to 5:00 Wed - Thu 8:00 to 2:30 PCMH: No

Lee, Wendy MD Provider ID: 773518Gender: FemaleCarolina Rheumatology And Neur-ology4835 Hwy 17 Bypass SouthMurrells Inlet, SC 29576(843) 357-1021Fax: (843) 692-2688Languages: MandarinTue 9:00 to 4:00 PCMH: No

Twining, Jon MD Provider ID: 774059Gender: MaleCarolina Rheumatology And Neur-ology4835 Hwy 17 Bypass SouthMurrells Inlet, SC 29576(843) 357-1021Fax: (843) 692-2688Mon - Tue, Thu 8:30 to 4:00 Wed, Fri 9:00 to 5:00 PCMH: No

Twining, Jon MD Provider ID: 774059Gender: MaleCarolina Rheumatology And Neur-ology8220 Nigels DrMyrtle Beach, SC 29572(843) 692-0968Fax: (843) 692-2688Mon - Fri 8:00 to 5:00 PCMH: No


Cunningham, Christopher MD Provider ID: 773957Gender: MaleMcleod Vascular Associates Seacoast3980 Highway 9 E, Ste 240Little River, SC 29566(843) 366-9155Fax: (843) 366-3750Mon - Fri 9:00 to 5:00 PCMH: No

Denlinger, Chadrick MD Provider ID: 1266718Gender: MaleMusc Health Cardiopulmonary4057 Highway 17Murrells Inlet, SC 29576-5032(843) 876-4844Mon - Fri 8:00 to 5:00 PCMH: No



37719585


Horry

Thoracic & Cardiovascular Surgery -

cont.

Gersch, Karen MD Provider ID: 1474021Gender: FemaleGrand Strand Surgical Specialists L8210 Devon CtMyrtle Beach, SC 29572(843) 497-7772Fax: (843) 848-7530Mon - Fri 8:30 to 5:00 PCMH: No

Gersch, Karen MD Provider ID: 1474021Gender: FemaleGrand Strand Surgical Specialists L933 Medical CirMyrtle Beach, SC 29572(843) 497-7772Fax: (843) 497-7627Mon - Fri 9:00 to 5:00 PCMH: No

Gurbuz, Ahmet MD Provider ID: 2222408Gender: MaleGrand Strand Surgical Specialists920 Doug White Dr, Ste 510Myrtle Beach, SC 29572-4183(843) 497-7772Fax: (843) 497-7627Mon - Fri 8:00 to 5:00 PCMH: No

Johnson, Alan MD Provider ID: 2023281Gender: MaleGrand Strand Surgical Specialists933 Medical CircleMyrtle Beach, SC 29572-4116(843) 497-7772Fax: (843) 497-7627Mon - Fri 9:00 to 5:00 PCMH: No

Mcintyre, Alex MD Provider ID: 1854093Gender: MaleHealogics Specialty Physicians Of S300 Singleton Ridge RdConway, SC 29526-9142(843) 347-8347Fax: (904) 446-3032Mon - Fri 8:00 to 5:00 PCMH: No

Perry, John MD Provider ID: 2222425Gender: MaleGrand Strand Surgical Specialists920 Doug White Dr, Ste 510Myrtle Beach, SC 29572-4183(843) 497-7772Fax: (843) 497-7627Mon - Fri 8:00 to 5:00 PCMH: No

Thoracic Surgery

Stahl, Russell MD Provider ID: 1258449Gender: MaleGrand Strand Surgical Specialists8210 Devon CtMyrtle Beach, SC 29572(843) 497-7772Fax: (843) 848-7530Mon - Thu 8:30 to 5:00 Fri 8:30 to 4:00 PCMH: No

Stahl, Russell MD Provider ID: 1258449Gender: MaleGrand Strand Surgical Specialists933 Medical CirMyrtle Beach, SC 29572(843) 497-7772Fax: (843) 497-6351Mon - Thu 9:00 to 5:00 Fri 9:00 to 4:00 PCMH: No

Urology

Cerasaro, Thomas MD Provider ID: 771925Gender: MaleAtlantic Urology Clinics4367 Riverwood Dr, Unit 100Murrells Inlet, SC 29576-4381(843) 652-4000Fax: (843) 652-4004Mon, Wed - Fri 8:30 to 5:00 Tue 9:00 to 5:00 PCMH: No

Cerasaro, Thomas MD Provider ID: 771925Gender: MaleAtlantic Urology Clinics LLC3600 Sea Mountain Hwy, Ste DLittle River, SC 29566-8161(843) 399-8930Fax: (843) 399-8932Mon - Fri 9:00 to 5:00 PCMH: No

Cerasaro, Thomas MD Provider ID: 771925Gender: MaleAtlantic Urology Clinics LLC101 Mcleod Health Blvd, Ste 202Myrtle Beach, SC 29579-4477(843) 236-5004Fax: (843) 236-4746Mon - Fri 9:00 to 5:00 PCMH: No

Fogarty, James DO Provider ID: 775936Gender: MaleAtlantic Urology Clinics LLC101 Mcleod Health Blvd, Ste 202Myrtle Beach, SC 29579-4477(843) 347-2450Fax: (843) 236-4746Mon - Fri 9:00 to 5:00 PCMH: No



37719585


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Urology - cont.

Fogarty, James DO Provider ID: 775936Gender: MaleCoastal Urology Center394 Singleton Ridge RdConway, SC 29526-9153(843) 347-8765Fax: (843) 347-3499Mon - Tue 1:00 to 5:00 Wed 8:00 to 5:00 Thu 8:00 to 12:00 Fri 8:00 to 4:00 PCMH: No

Fogarty, James DO Provider ID: 775936Gender: MaleAtlantic Urology Clinics LLC3600 Sea Mountain Hwy, Ste BLittle River, SC 29566-8161(843) 399-9696Fax: (843) 399-8932Mon - Fri 9:00 to 5:00 PCMH: No

Fogarty, James DO Provider ID: 775936Gender: MaleAtlantic Urology Clinics LLC402 Singleton Ridge RdConway, SC 29526-9153(843) 347-0267Fax: (843) 347-0346Mon - Fri 8:00 to 5:00 PCMH: No

Fogarty, James DO Provider ID: 775936Gender: Male199 Vlg Ctr Blvd, Ste 100Myrtle Beach, SC 29579-3589(843) 347-2450Fax: (843) 236-4746PCMH: No

Frank, Walter MD Provider ID: 771580Gender: MaleAtlantic Urology Clinics4367 Riverwood Dr, Unit 100Murrells Inlet, SC 29576-4381(843) 652-4000Fax: (843) 652-4004Mon, Wed - Fri 8:30 to 5:00 Tue 9:00 to 5:00 PCMH: No

Frank, Walter MD Provider ID: 771580Gender: MaleAtlantic Urology Clinics LLC3600 Sea Mountain Hwy, Ste DLittle River, SC 29566-8161(843) 399-8930Fax: (843) 399-8932Mon - Fri 9:00 to 5:00 PCMH: No

Frank, Walter MD Provider ID: 771580Gender: MaleAtlantic Urology Clinics LLC3911 Highway 17Murrells Inlet, SC 29576-5014(843) 652-4000Fax: (843) 652-4004Mon - Fri 8:00 to 5:00 PCMH: No

Gajewski, Timothy MD Provider ID: 2266763Gender: MaleAtlantic Urology Clinics LLC3600 Sea Mountain Hwy, Ste BLittle River, SC 29566-8161(843) 399-9696Fax: (843) 399-9596Mon - Fri 8:00 to 5:00 PCMH: No

Gangi, Glenn MD Provider ID: 776932Gender: Male1213 Elm StAynor, SC 29511-3320(843) 756-6319Fax: (843) 756-5205PCMH: No

Gangi, Glenn MD Provider ID: 776932Gender: Male3617 Casey St, Ste BLoris, SC 29569-2981(843) 756-5186Fax: (843) 756-5205PCMH: No

Gangi, Glenn MD Provider ID: 776932Gender: MaleAtlantic Urology Clinics402 Singleton Ridge Rd, Ste BConway, SC 29526(843) 347-8600Fax: (843) 347-8702Mon - Fri 9:00 to 5:00 PCMH: No

Gangi, Glenn MD Provider ID: 776932Gender: MaleAtlantic Urology Clinics LLC3600 Sea Mountain Hwy, Ste DLittle River, SC 29566-8161(843) 399-8930Fax: (843) 399-8932Mon - Fri 9:00 to 5:00 PCMH: No

Gangi, Glenn MD Provider ID: 776932Gender: MaleAtlantic Urology Clinics LLC101 Mcleod Health Blvd, Ste 202Myrtle Beach, SC 29579-4477(843) 347-2450Fax: (843) 236-4746Mon - Fri 9:00 to 5:00 PCMH: No

Jansen, Robert MD Provider ID: 1010218Gender: MaleAtlantic Urology Clinics LLC823 82nd PkwyMyrtle Beach, SC 29572-4607(843) 449-1010Fax: (843) 497-6171Mon - Fri 8:00 to 5:00 PCMH: No



37719585


Horry

Urology - cont.

Jansen, Robert MD Provider ID: 1010218Gender: MaleAtlantic Urology Clinics LLC5046 Highway 17 Byp S, Ste 200Myrtle Beach, SC 29588-4503(843) 347-2450Fax: (843) 293-0448Mon - Fri 8:00 to 5:00 PCMH: No

Quillen, Timothy MD Provider ID: 774449Gender: MaleAtlantic Urology Clinics394 Singleton Ridge RdConway, SC 29526-9153(843) 347-8765Fax: (843) 347-3499Mon - Fri 8:00 to 5:00 PCMH: No

Quillen, Timothy MD Provider ID: 774449Gender: MaleAtlantic Urology Clinics LLC3600 Sea Mountain Hwy, Ste DLittle River, SC 29566-8161(843) 399-8930Fax: (843) 399-8932Mon - Fri 9:00 to 5:00 PCMH: No

Quillen, Timothy MD Provider ID: 774449Gender: MaleAtlantic Urology Clinics LLC402 Singleton Ridge RdConway, SC 29526-9153(843) 347-0267Fax: (843) 347-0346Mon - Fri 8:00 to 5:00 PCMH: No

Quillen, Timothy MD Provider ID: 774449Gender: MaleAtlantic Urology Clinics LLC101 Mcleod Health Blvd, Ste 202Myrtle Beach, SC 29579-4477(843) 347-2450Fax: (843) 236-4746Mon - Fri 9:00 to 5:00 PCMH: No

Rich, David MD Provider ID: 1648411Gender: MaleAtlantic Urology Clinics LLC5046 Highway 17 Byp S, Ste 200Myrtle Beach, SC 29588-4503(843) 347-2450Fax: (843) 293-0448Mon - Fri 8:00 to 5:00 PCMH: No

Rich, David MD Provider ID: 1648411Gender: MaleAtlantic Urology Clinics LLC101 Mcleod Health Blvd, Ste 202Myrtle Beach, SC 29579-4477(843) 236-4949Fax: (843) 236-4746Mon - Fri 8:00 to 5:00 PCMH: No

Roberts, Brian MD Provider ID: 775189Gender: Male199 Vlg Ctr Blvd, Ste 100Myrtle Beach, SC 29579-3589(843) 347-2450Fax: (843) 236-4746PCMH: No

Roberts, Brian MD Provider ID: 775189Gender: MaleAtlantic Urology Clinics823 82nd PkwyMyrtle Beach, SC 29572-4607(843) 449-1010Fax: (843) 497-6171Mon - Fri 8:30 to 4:30 PCMH: No

Roberts, Brian MD Provider ID: 775189Gender: MaleAtlantic Urology Clinics LLC3600 Sea Mountain Hwy, Ste DLittle River, SC 29566-8161(843) 399-8930Fax: (843) 399-8932Mon - Fri 9:00 to 5:00 PCMH: No

Roberts, Brian MD Provider ID: 775189Gender: MaleAtlantic Urology Clinics LLC101 Mcleod Health Blvd, Ste 202Myrtle Beach, SC 29579-4477(843) 347-2450Fax: (843) 236-4746Mon - Fri 9:00 to 5:00 PCMH: No

Roberts, Brian MD Provider ID: 775189Gender: MaleAtlantic Urology Clinics LLC5046 Highway 17 Byp S, Ste 200Myrtle Beach, SC 29588-4503(843) 347-2450Fax: (843) 293-0448Mon - Fri 8:00 to 5:00 PCMH: No

Roberts, Brian MD Provider ID: 775189Gender: MaleMi Grand Strand Urology4367 Riverwood Dr, Unit 110Murrells Inlet, SC 29576-4381(843) 357-1066Fax: (843) 357-1119Mon - Fri 8:00 to 4:30 PCMH: No



37719585


Horry

Urology - cont.

Shore, Neal MD Provider ID: 771700Gender: MaleAtlantic Urology Clinics823 82nd Pkwy, Mb Grand Strand UrologyMyrtle Beach, SC 29572-4607(843) 449-1010Fax: (843) 497-6171Grand Strand Regional Medical CenterMon - Fri 8:00 to 4:30 PCMH: No

Shore, Neal MD Provider ID: 771700Gender: MaleAtlantic Urology Clinics LLC3600 Sea Mountain Hwy, Ste DLittle River, SC 29566-8161(843) 399-8930Fax: (843) 399-8932Grand Strand Regional Medical CenterMon - Fri 9:00 to 5:00 PCMH: No

Shore, Neal MD Provider ID: 771700Gender: MaleAtlantic Urology Clinics LLC101 Mcleod Health Blvd, Ste 202Myrtle Beach, SC 29579-4477(843) 347-2450Fax: (843) 236-4746Grand Strand Regional Medical CenterMon - Fri 9:00 to 5:00 PCMH: No

Shore, Neal MD Provider ID: 771700Gender: MaleAtlantic Urology Clinics LLC5046 Highway 17 Byp S, Ste 200Myrtle Beach, SC 29588-4503(843) 347-2450Fax: (843) 293-0448Grand Strand Regional Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Shore, Neal MD Provider ID: 771700Gender: Male827 82nd PkwyMyrtle Beach, SC 29572-4607(843) 286-2020Fax: (843) 286-2030Grand Strand Regional Medical CenterPCMH: No

Srivastava, Abhishek MD Provider ID: 2294960Gender: MaleAtlantic Urology Clinics LLC101 Mcleod Health Blvd, Ste 202Myrtle Beach, SC 29579-4477(843) 236-4949Fax: (843) 236-4746Mon - Fri 8:00 to 5:00 PCMH: No

Srivastava, Abhishek MD Provider ID: 2294960Gender: MaleAtlantic Urology Clinics LLC3600 Sea Mountain Hwy, Ste BLittle River, SC 29566-8161(843) 280-5151Fax: (843) 399-9596Mon - Fri 8:00 to 5:00 PCMH: No

Srivastava, Abhishek MD Provider ID: 2294960Gender: MaleAtlantic Urology Clinics LLC3600 Sea Mountain Hwy, Ste DLittle River, SC 29566-8161(843) 390-8521Fax: (843) 399-8932Mon - Fri 8:00 to 5:00 PCMH: No

Srivastava, Abhishek MD Provider ID: 2294960Gender: MaleAtlantic Urology Clinics LLC5046 Highway 17 Byp S, Ste 200Myrtle Beach, SC 29588-4503(843) 347-2450Fax: (843) 293-0448Mon - Fri 8:00 to 5:00 PCMH: No

Srivastava, Abhishek MD Provider ID: 2294960Gender: MaleAtlantic Urology Clinics LLC823 82nd PkwyMyrtle Beach, SC 29572-4607(843) 449-1010Fax: (843) 497-6171Mon - Fri 8:00 to 5:00 PCMH: No

Wood, Joseph MD Provider ID: 776536Gender: MaleAtlantic Urology Clinics394 Singleton Ridge RdConway, SC 29526-9153(843) 347-8765Fax: (843) 347-3499Mon - Fri 8:00 to 5:00 PCMH: No

Wood, Joseph MD Provider ID: 776536Gender: MaleAtlantic Urology Clinics LLC3600 Sea Mountain Hwy, Ste DLittle River, SC 29566-8161(843) 399-8930Fax: (843) 399-8932Mon - Fri 9:00 to 5:00 PCMH: No

Wood, Joseph MD Provider ID: 776536Gender: MaleAtlantic Urology Clinics LLC402 Singleton Ridge RdConway, SC 29526-9153(843) 347-0267Fax: (843) 347-0346Mon - Fri 8:00 to 5:00 PCMH: No

Wood, Joseph MD Provider ID: 776536Gender: MaleAtlantic Urology Clinics LLC101 Mcleod Health Blvd, Ste 202Myrtle Beach, SC 29579-4477(843) 236-5004Fax: (843) 236-4746Mon - Fri 9:00 to 5:00 PCMH: No



37719585


Horry

Urology - cont.

Wood, Joseph MD Provider ID: 776536Gender: Male822 Farrar DrConway, SC 29526-8747(843) 347-9587Fax: (843) 347-9633PCMH: No

Young, Matthew MD Provider ID: 1964157Gender: MaleAtlantic Urology Clinics LLC101 Mcleod Health Blvd, Ste 202Myrtle Beach, SC 29579(843) 236-4949Fax: (843) 236-4746Mon - Fri 8:00 to 5:00 PCMH: No

Young, Matthew MD Provider ID: 1964157Gender: MaleAtlantic Urology Clinics LLC3600 Sea Mountain Hwy, Ste DLittle River, SC 29566(843) 390-8521Fax: (843) 399-8932Mon - Fri 8:00 to 5:00 PCMH: No

Young, Matthew MD Provider ID: 1964157Gender: MaleAtlantic Urology Clinics LLC394 Singleton Ridge RdConway, SC 29526-9150(843) 347-8765Fax: (843) 347-3499Mon - Fri 8:00 to 5:00 PCMH: No

Young, Matthew MD Provider ID: 1964157Gender: MaleAtlantic Urology Clinics LLC402 Singleton Ridge RdConway, SC 29526(843) 347-0267Fax: (843) 347-0346Mon - Fri 8:00 to 5:00 PCMH: No

Young, Richard MD Provider ID: 773672Gender: Male809 82nd PkwyMyrtle Beach, SC 29572-4607(843) 692-1000PCMH: No

Young, Richard MD Provider ID: 773672Gender: MaleAtlantic Urology Clinics823 82nd PkwyMyrtle Beach, SC 29572-4607(843) 449-1010Fax: (843) 497-6171Mon - Fri 8:00 to 4:30 PCMH: No

Young, Richard MD Provider ID: 773672Gender: MaleAtlantic Urology Clinics LLC3600 Sea Mountain Hwy, Ste DLittle River, SC 29566-8161(843) 399-8930Fax: (843) 399-8932Mon - Fri 9:00 to 5:00 PCMH: No

Young, Richard MD Provider ID: 773672Gender: MaleAtlantic Urology Clinics LLC101 Mcleod Health Blvd, Ste 202Myrtle Beach, SC 29579-4477(843) 347-2450Fax: (843) 236-4746Mon - Fri 9:00 to 5:00 PCMH: No

Young, Richard MD Provider ID: 773672Gender: MaleAtlantic Urology Clinics LLC5046 Highway 17 Byp S, Ste 200Myrtle Beach, SC 29588-4503(843) 347-2450Fax: (843) 293-0448Mon - Fri 8:00 to 5:00 PCMH: No

Vascular Surgery

Keefer, Adam MD Provider ID: 1237473Gender: MaleCoastal Vascular And Vein Center Pa4835 Highway 17Murrells Inlet, SC 29576(843) 577-4551Fax: (843) 577-8868Tue - Wed 9:00 to 2:00 PCMH: No

Piccolo, Carmen DO Provider ID: 1148987Gender: MaleMcleod Vascular Associates Seacoast3980 Highway 9 E, Ste 240Little River, SC 29566(843) 366-9155Fax: (843) 366-3750Mon - Fri 9:00 to 5:00 PCMH: No

Rzucidlo, Eva MD Provider ID: 1164665Gender: FemaleMcleod Vascular Associates Seacoast3980 Highway 9 E, Ste 240Little River, SC 29566-8164(843) 366-9155Fax: (843) 366-3750Mon - Fri 8:00 to 5:00 PCMH: No

Winkler, Gabor MD Provider ID: 945371Gender: MaleMcleod Vascular Associates Seacoast3980 Highway 9 E, Ste 240Little River, SC 29566-8164(843) 366-9155Fax: (843) 366-3750Languages: German, Hungarian, RussianMon - Fri 9:00 to 5:00 PCMH: No



37719585


Marion

Cardiology

Ng, Daniel MD Provider ID: 1840852Gender: MaleMusc Physicians Cardiology Marion M2835 E Highway 76, Ste 5Mullins, SC 29574-6038(843) 431-2171Fax: (843) 423-3739Mon - Fri 8:00 to 5:00 PCMH: No

Chiropractic

Falk, Mitchell DC Provider ID: 777281Gender: MaleSpinal Care Center Of Mullins270 S Main StMullins, SC 29574(843) 464-8700Fax: (843) 464-1670Mon - Wed, Fri 8:00 to 6:00 Thu, Sat 8:00 to 12:30 PCMH: No

Sealey, Darren DC Provider ID: 1522530Gender: MalePalmetto Wellness And Injury Center2516 E Hwy 76Marion, SC 29571(843) 423-7363Fax: (843) 423-7364Mon - Thu 8:30 to 5:30 Fri 8:30 to 1:00 PCMH: No

Family Practice

Bethea, Lesa MD Provider ID: 775574Gender: FemaleComprehensive Hospitalist Services2829 E Highway 76Mullins, SC 29574(877) 693-5700Mon - Fri 9:00 to 5:00 PCMH: No

Floyd Norris, Iris MD Provider ID: 766894Gender: FemaleMusc Physicians Primary Care Marion2835 E Highway 76, Ste 7Mullins, SC 29574-6038(843) 431-2710Fax: (843) 431-2716Musc Health Marion Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

General Surgery

Degrood, Robert MD Provider ID: 936089Gender: MaleMusc Physicians General Surgery Mul119 W Lowman StMullins, SC 29574(843) 464-4000Fax: (843) 464-4017Musc Health Marion Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Gopalakrishnan, Parakkat MD

Provider ID: 1849544Gender: FemaleMusc Physicians General Surgery Mul119 W Lowman StMullins, SC 29574(843) 464-4000Fax: (843) 464-4017Musc Health Marion Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Thomas, Chadwick MD Provider ID: 1278944Gender: MaleMusc Physicians General Surgery Mul119 W Lowman StMullins, SC 29574(843) 464-4000Fax: (843) 464-4017Musc Health Marion Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Internal Medicine

Abinsay, Alvin MD Provider ID: 774962Gender: MaleComprehensive Hospitalist Services2829 E Highway 76Mullins, SC 29574(877) 693-5700Mon - Fri 9:00 to 5:00 PCMH: No

Bullard, Robert MD Provider ID: 770232Gender: MaleComprehensive Hospitalist Services2829 E Highway 76Mullins, SC 29574(877) 693-5700Mon - Fri 9:00 to 5:00 PCMH: No

Demarco, Paul MD Provider ID: 774056Gender: MaleComprehensive Hospitalist Services2829 E Highway 76Mullins, SC 29574(877) 693-5700Mon - Fri 9:00 to 5:00 PCMH: No



37719585


Marion


Hazelwood, William MD Provider ID: 770454Gender: MaleComprehensive Hospitalists Servs Of2829 E Highway 76Mullins, SC 29574(877) 693-5700Mon - Fri 9:00 to 5:00 PCMH: No

Mathisuthan, Gangatharan MD

Provider ID: 777304Gender: MaleComprehensive Hospitalist Services2829 E Highway 76Mullins, SC 29574(877) 693-5700Mon - Fri 9:00 to 5:00 PCMH: No

Offiong, Dominic MD Provider ID: 773502Gender: MaleComprehensive Hospitalist Services2829 E Highway 76Mullins, SC 29574(877) 693-5700Mon - Fri 9:00 to 5:00 PCMH: No

Ortiz, Veronica MD Provider ID: 775975Gender: FemaleComprehensive Hospitalist Services2829 E Highway 76Mullins, SC 29574(877) 693-5700Mon - Fri 9:00 to 5:00 PCMH: No

Shakeel, Muhammad MD Provider ID: 773348Gender: MaleComprehensive Hospitalist Services2829 E Highway 76Mullins, SC 29574(877) 693-5700Mon - Fri 9:00 to 5:00 PCMH: No

Woodberry, William MD Provider ID: 776300Gender: MaleComprehensive Hospitalist Services2829 E Highway 76Mullins, SC 29574(877) 693-5700Mon - Fri 9:00 to 5:00 PCMH: No


Burke, Valerie MD Provider ID: 776707Gender: FemaleHealth Care Partners Of Sc145 Palmetto Pointe RdMarion, SC 29571(843) 248-4700Mon - Fri 9:00 to 5:00 PCMH: No

Optometry

Vinson, Mark OD Provider ID: TPVVINS01-02Gender: MaleVision Care Pa2614 East Highway 76Marion, SC 29571(843) 423-7229Fax: (843) 423-1971Mon - Thu 10:00 to 4:00 Fri 10:00 to 2:00 PCMH: No

Orthopaedic Surgery

Hamilton, Frederick DO Provider ID: 1419770Gender: MaleMusc Physicians Orthopaedics Marion2835 E Highway 76, Ste 5Mullins, SC 29574-6038(843) 431-2280Fax: (843) 431-2297Musc Health Marion Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Urology

O'kelly, James MD Provider ID: 2354537Gender: MaleMusc Physicians Marion Urology2835 E Highway 76, Ste 2Mullins, SC 29574(843) 431-2140Fax: (843) 431-2146Mon - Fri 8:00 to 5:00 PCMH: No



37719585


Marlboro

General Surgery

Jordan, Henry MD Provider ID: 1227095Gender: MaleMcleod Surgery Cheraw1076 Marlboro Way, Ste 6Bennettsville, SC 29512-2495(843) 545-7677Fax: (843) 454-7675Mon - Fri 9:00 to 5:00 PCMH: No

Pack, Mark MD Provider ID: 1168395Gender: MaleMcleod Surgery Cheraw1076 Marlboro Way, Ste 6Bennettsville, SC 29512-2495(843) 454-7677Fax: (843) 454-7675Mon - Fri 9:00 to 5:00 PCMH: No

Internal Medicine

Santana Alarcon, Lhissa MD Provider ID: 770647Gender: FemaleMarlboro Clinic Corp1138 Cheraw StBennettsville, SC 29512-2466(843) 454-8400Mon - Fri 9:00 to 5:00 PCMH: No


Hoffman, Michael MD Provider ID: 1162575Gender: MaleMcleod Ob Gyn Bennettsville1040 Marlboro Way, Ste 7Bennettsville, SC 29512-2494(843) 777-9140Fax: (843) 777-9141Mon - Fri 8:30 to 5:00 PCMH: No

Kolb, Cynthia MD Provider ID: 774288Gender: FemaleMcleod Ob/Gyn Bennettsville1040 Marlboro Way, Ste 7Bennettsville, SC 29512-2494(843) 777-9140Fax: (843) 777-7914Mon - Fri 9:00 to 5:00 PCMH: No

Optometry

Johnson, David OD Provider ID: TPVJOHN34-01Gender: MaleMarlboro Eye Care602 East Main StreetBennettsville, SC 29512(843) 479-2020Fax: (843) 454-2020Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Orthopaedic Surgery

Carter, Ralph MD Provider ID: 918440Gender: MaleOrthocarolina Pa1007 Cheraw StBennettsville, SC 29512-2422(843) 479-8357Fax: (999) 999-9999PCMH: No

Rush, Paul MD Provider ID: 928514Gender: MaleOrthocarolina Pa1007 Cheraw StBennettsville, SC 29512-2422(843) 479-8357PCMH: No

Smid, John MD Provider ID: 1428733Gender: MaleOrthocarolina Pa1007 Cheraw StBennettsville, SC 29512-2422(843) 479-8357PCMH: No



37719585


Williamsburg


Magera, Barbara MD Provider ID: 1327267Gender: FemaleWilliamsburg Regional Specilaty Cen500 Thur Marshall Hwy, Ste AKingstree, SC 29556-4027(843) 355-0201Fax: (843) 355-0123Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:00 PCMH: No

Cardiology

Lieberman, Ariane MD Provider ID: 1229187Gender: FemaleWillimasburg Regional Health Center500 Thurgood Marshall Highway, Ste FKingstree, SC 29556(843) 355-8888Fax: (843) 355-9994Williamsburg Regional HospitalTidelands Waccamaw Community HospitalMon - Fri 9:00 to 5:00 PCMH: No

Gastroenterology

Bickerstaff, Charles MD Provider ID: 1441376Gender: MaleWilliamsburg Regional Specilaty Cen500 Thurgood Marshall Hwy, Ste AKingstree, SC 29556-4027(843) 355-0201Fax: (843) 355-0123Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:00 PCMH: No


Bickerstaff, Charles MD Provider ID: 1441376Gender: MaleWillimasburg Regional Health Center500 Thurgood Marshall Highway, Ste FKingstree, SC 29556(843) 355-8888Fax: (843) 355-9994Mon - Fri 9:00 to 5:00 PCMH: No

General Surgery

Asaro, Joseph MD Provider ID: 1229196Gender: MaleWilliamsburg Regional Hospital500 Nelson BlvdKingstree, SC 29556(843) 365-8888Fax: (843) 355-9994Mon - Fri 8:00 to 5:00 PCMH: No

Rimkus, Gilbertas MD Provider ID: 772133Gender: MaleWilliamburg Regional Hospital500 Nelson BlvdKingstree, SC 29556(843) 355-8888Mon - Fri 9:00 to 5:00 PCMH: No

Internal Medicine

Natarajan, Sundar MD Provider ID: 2287996Gender: MaleWilliamsburg Regional Hospital500 Nelson BlvdKingstree, SC 29556-4027(843) 355-0175Fax: (843) 355-0115Mon - Sun 12:00 to 12:00 PCMH: No

Nephrology

Singh, Inderpal MD Provider ID: 1528193Gender: MaleWilliamsburg Regional Health Center500 Thurgood Marshall Highway, Ste FKingstree, SC 29556(843) 355-8888Fax: (843) 355-9944Mon - Fri 9:00 to 5:00 PCMH: No

Singh, Inderpal MD Provider ID: 1528193Gender: MaleWilliamsburg Regional Specialty Cen500 Thurgood Marshall Hwy, Ste AKingstree, SC 29556-4143(843) 355-0201Fax: (843) 355-0123Mon - Fri 8:30 to 5:00 PCMH: No


Tollison, Steven MD Provider ID: 2329388Gender: MaleHopehealth Kingstree520 Thur Marshall Hwy, Ste BKingstree, SC 29556-4108(843) 355-5628Fax: (843) 355-5616Mon - Fri 7:30 to 5:00 PCMH: No

Optometry

Johnson, Edward OD Provider ID: TPVJOHN37-01Gender: MaleEdward Johnson409 Martin Luther King BoulevardKingstree, SC 29556(843) 355-2020Fax: (843) 355-2028Mon, Wed, Fri 9:00 to 5:00 PCMH: No



37719585


Williamsburg

Orthopaedic Surgery

Skinner, Wright MD Provider ID: 1821579Gender: MaleWilliamsburg Orthopedics402 Nelson Blvd, Ste 400Kingstree, SC 29556-4058(843) 355-0201Fax: (843) 355-0123Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:00 PCMH: No

Podiatry

Butterworth, Michelle DPM Provider ID: 1525754Gender: FemaleWilliamsburg Foot Center500 Thurgood Marshall Hwy, Ste BKingstree, SC 29556-4143(843) 355-0255Fax: (843) 355-0259Mon, Thu 10:00 to 12:00 Tue 10:00 to 5:00 Wed 3:00 to 5:00 Fri 9:00 to 5:00 PCMH: No

Butterworth, Michelle DPM Provider ID: 771536Gender: FemalePee Dee Foot Center402 Nelson Blvd, Ste 300Kingstree, SC 29556(843) 355-9690Fax: (843) 355-9777Mon, Thu 10:00 to 12:00 Tue 10:00 to 5:00 Wed 3:00 to 5:00 Fri 9:00 to 5:00 PCMH: No

Corey, Stephen DPM Provider ID: 772016Gender: MalePee Dee Foot Center402 Nelson Blvd, Ste 300Kingstree, SC 29556(843) 355-9690Fax: (843) 355-9777Mon - Wed, Fri 9:00 to 5:00 Thu 2:00 to 5:00 PCMH: No

Psychology

Leith-Fischer, Madeleine SS

Provider ID: 2070843Gender: FemaleLive Oak Psycho Educational Service402 Nelson Blvd, Ste 10Kingstree, SC 29556-4058(843) 457-0138Mon - Tue 9:30 to 3:00 PCMH: No

Radiology - Interventional &

Vascular

Cranny, Jennifer MD Provider ID: 564790Gender: FemalePalmetto Primary Care Physicians342 W Main StKingstree, SC 29556-3235(843) 355-3621Fax: (843) 355-3624Mon - Fri 7:30 to 5:00 PCMH: No

Thoracic Surgery

Smith III, Charlie MD Provider ID: 452064Gender: MaleWilliamsburg Regional Hospital500 Nelson BlvdKingstree, SC 29556(843) 365-8888Fax: (843) 355-9994Mon - Sun 12:00 to 12:00 PCMH: No

Smith III, Charlie MD Provider ID: 452064Gender: MaleWilliamsburg Surgical Group500 Thur Marshall Hwy, Ste GKingstree, SC 29556-4143(843) 355-0180Fax: (843) 355-1606Mon - Fri 8:30 to 5:00 PCMH: No

Urology

Wright, David MD Provider ID: 1120738Gender: MaleWilliamsburg Regional Rural Health500 Thur Marshall Hwy, Ste FKingstree, SC 29556-4143(843) 355-1772Fax: (843) 355-1775Mon - Fri 9:00 to 5:00 PCMH: No



37719585

Hospitals

Chesterfield

Hospital

Mcleod Health Cheraw Provider ID: 1129434711 Chesterfield HwyCheraw, SC 29520(843) 623-5665Mon - Sun 12:00 to 12:00



37719585

Hospitals

Darlington

Hospital

Carolina Pines Regional Medical

Center Provider ID: 7710581304 W Bobo Newsom HwyHartsville, SC 29550(843) 339-4100Mon - Sun 12:00 to 12:00

Mcleod Medica Center Darlington

Provider ID: 770460701 Cashua Ferry RdDarlington, SC 29532(843) 777-1100Fax: (843) 777-1146Mon - Sun 12:00 to 12:00



37719585

Hospitals

Dillon

Hospital

Mcleod Medical Center Dillon Provider ID: 774293301 E Jackson StDillon, SC 29536(843) 774-4111Fax: (843) 774-1563Mon - Sun 12:00 to 12:00



37719585

Hospitals

Florence

Hospital

Lake City Community Hospital Provider ID: 775898258 N Ron Mcnair BlvdLake City, SC 29560(843) 374-2036Fax: (843) 374-5111Mon - Sun 12:00 to 12:00

Mcleod Regional Medical Center

Provider ID: 770375555 E Cheves StFlorence, SC 29501(843) 777-2000Fax: (843) 777-7554Mon - Sun 12:00 to 12:00

Musc Health Florence Medical Center Provider ID: 771518805 Pamplico HwyFlorence, SC 29505-6047(843) 674-2500Fax: (843) 674-2519Mon - Sun 12:00 to 12:00



37719585

Hospitals

Horry

Hospital

Conway Medical Center Provider ID: 990517300 Singleton Ridge RdConway, SC 29526-9142(843) 347-8075Fax: (843) 347-8048Mon - Fri 9:00 to 5:00

Grand Strand Regional Medical

Center Provider ID: 770446809 82nd PkwyMyrtle Beach, SC 29572-4611(803) 692-1100Mon - Sun 12:00 to 12:00

Mcleod Loris Seacoast Ho Provider ID: 6751823655 Mitchell StLoris, SC 29569(843) 777-4424Fax: (843) 777-5249Mon - Sun 12:00 to 12:00

Mcleod Loris Seacoast Ho Provider ID: 6751824000 Highway 9 ELittle River, SC 29566-7833(843) 777-4424Fax: (843) 777-5249Mon - Fri, Sun 12:00 to 12:00



37719585

Hospitals

Marion

Hospital

Musc Health Marion Medical

Center Provider ID: 9120862829 E Highway 76Mullins, SC 29574-6035(843) 431-2000Fax: (843) 431-2414Mon - Sun 12:00 to 12:00



37719585

Hospitals

Williamsburg

Hospital

Williamsburg Regional Hospital Provider ID: 772796500 Nelson BlvdKingstree, SC 29556(843) 355-8888Fax: (843) 355-9994Mon - Sun 12:00 to 12:00



37719585

Ancillary Providers

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37719585

Ancillary Providers

Chesterfield


Kershaw County Commission On

Alcohol And Provider ID: 806460The Alpha Center1218 East BlvdChesterfield, SC 29709-5148(843) 623-7062Fax: (843) 623-7112Mon - Fri 8:30 to 5:00

Sc Department Of Juvenile Justice

Provider ID: 1297764101 Main StChesterfield, SC 29709-1703(803) 896-9477Fax: (803) 896-5646Mon - Fri 8:30 to 5:00

The Alpha Behavioral Health

Center Provider ID: 12239191218 East BlvdChesterfield, SC 29709(843) 623-7062Fax: (843) 623-7112Mon - Fri 8:30 to 5:00


Chesterfield County Health

Department Provider ID: 773527Sc Dhec - Bureau Of Finance203 N Page StChesterfield, SC 29709(803) 898-0784Mon - Fri 9:00 to 5:00

Dialysis

Pageland Dialysis Provider ID: 773863505a S Pearl StPageland, SC 29728-2222(843) 672-3491Fax: (843) 672-3504Mon - Sat 5:30 to 6:00


Bridges And Jamesinc Wanna-

maker Drug Provider ID: 920029Bridges And Jamesinc DBA Wanna-make154 Market StCheraw, SC 29520-2412(843) 537-3221Fax: (843) 537-9550Mon - Fri 8:30 to 6:00 Sat 8:30 to 1:00


Sandhills Med Foundation Provider ID: 831116645 S Seventh StMc Bee, SC 29101(843) 335-8291Fax: (843) 335-8731Mon - Fri 9:00 to 5:00



37719585

Ancillary Providers

Darlington


No Bounds Care Inc Provider ID: 1225625405 Pine StDarlington, SC 29532(803) 237-2273Mon - Fri 9:00 to 5:00


Provider ID: 1297764302 Russell St, Room 15Darlington, SC 29532-3307(803) 896-9477Fax: (803) 896-5646Mon - Fri 8:30 to 5:00


Darlington County Health Depart-

ment Provider ID: 772656Sc Dhec - Bureau Of Finance305 Russell StDarlington, SC 29532(843) 398-4400Mon - Fri 9:00 to 5:00


Pee Dee Mental Health Center Provider ID: 1240052Pee Dee Darlington County Clinic900 S 4th StHartsville, SC 29550-5787(843) 332-4141Fax: (843) 383-4625Mon - Tue, Fri 8:30 to 5:00 Wed - Thu 8:30 to 7:00

Dialysis

Darlington Dialysis Ctr Provider ID: 874617Darlington Dialysis103 Saleeby LoopDarlington, SC 29532(843) 393-1682Fax: (843) 393-1685Mon - Fri 9:00 to 5:00

Fmc Dialysis Svcs Hartsville Provider ID: 874116Fmc Dialysis Hartsville1308 S 4th StHartsville, SC 29550(843) 383-9526Fax: (843) 383-9577Mon - Fri 9:00 to 5:00

Fresenius Kidney Care Black Creek

Dialys Provider ID: 1714097Fresenius Kidney Care Black Creek D1001 S 4th StHartsville, SC 29550-5791(843) 332-2355Fax: (843) 332-8994Mon, Wed, Fri 8:00 to 3:00

Harts Dialysis Provider ID: 9729321015 S 4th StHartsville, SC 29550-5791(843) 332-5688Fax: (843) 332-1039Mon - Fri 8:00 to 4:00


Palmetto Breathing Solutions Provider ID: 77735018 Public SqDarlington, SC 29532(843) 393-1001Fax: (843) 398-0020Mon - Fri 9:00 to 5:00


Palmetto Prosthetics And

Orthotics Inc Provider ID: 1061536Palmetto Prosthetics And Orthotics701 Medical Park Dr, Ste 106Hartsville, SC 29550-4777(843) 332-3291Fax: (843) 673-0333Tue 1:00 to 5:00 Wed 9:00 to 5:00



37719585

Ancillary Providers

Dillon


Family First Support Center Provider ID: 1783327Family First Support Center Inc411 W Hampton StDillon, SC 29536-3337(843) 765-4087Fax: (843) 765-4085Mon - Fri 9:00 to 5:00


Provider ID: 1297764200 S 5th AveDillon, SC 29536-3332(803) 896-9477Fax: (803) 896-5646Mon - Fri 8:30 to 5:00

Trinity Behavioral Care Provider ID: 805275204 N Mlk Jr BlvdDillon, SC 29536(843) 774-6591Fax: (843) 774-1409Mon - Fri 8:30 to 5:00


Dillon County Health Department

Provider ID: 770401Sc Dhec - Bureau Of Finance201 W Hampton StDillon, SC 29536(843) 774-5611Mon - Fri 9:00 to 5:00

Dialysis

Fresenius Med Care Dillon Provider ID: 875551Dillon Dialysis1304 Highway 301 SDillon, SC 29536(843) 774-3687Fax: (843) 774-3688Mon - Fri 9:00 to 5:00


Lincare Inc Provider ID: 3780451115 Highway 301 N, Ste ADillon, SC 29536-2498(842) 774-7444Fax: (843) 774-7479Mon - Fri 8:00 to 5:00


Carolina Sleep Diagnostics Inc Provider ID: 777378200 W Harrison St, Ste BDillon, SC 29536(843) 841-1220Fax: (843) 841-2062Mon - Fri 8:00 to 4:30



37719585

Ancillary Providers

Florence


Florence Surgery And Laser

Center LLC Provider ID: 859517Florence Surgery And Laser Center L400 N Cashua DrFlorence, SC 29501-2098(843) 664-9393Fax: (843) 664-2301Mon - Thu 6:30 to 4:30

Mcleod Cardiothoracic Vascular

Surgical Provider ID: 770613Mcleod Physician Associates101 S Ravenel St, Ste 270Florence, SC 29506(843) 664-0220Fax: (843) 664-9545Mon - Thu 8:00 to 4:30 Fri 8:00 to 2:30

Mcleod Cardiothoracic Vascular

Surgical Provider ID: 770613Mcleod Physician Associates305 E Cheves St, Ste 230Florence, SC 29506-2611(843) 777-3850Fax: (843) 665-8908Mon - Fri 9:00 to 5:00

Audiology

Burrows, Dennis PHD Provider ID: 772581Pee Dee Speech Hearing Center153 E N B Baroody StFlorence, SC 29506(843) 662-7802Fax: (843) 662-5601Mon - Fri 8:30 to 5:00


Circle Park Behavioral Health

Services Provider ID: 2234870Circle Park Behavioral Health Servi238 S Coit StFlorence, SC 29501-4422(843) 665-9349Fax: (843) 669-6122Mon - Fri 8:00 to 5:00

Growing Home Southeast Provider ID: 1213326181 East Evans St Btc-120, Ste D15Florence, SC 29506(803) 664-2010Fax: (803) 432-6685Mon - Fri 8:30 to 5:00

Life Altering Behavioral Health

Services Provider ID: 1219370Life Altering Behavioral Health Ser1354 Celebration Blvd, Ste BFlorence, SC 29501(843) 407-6734Fax: (855) 710-8085Mon - Fri 8:30 to 5:30

Positive Influences Inc Provider ID: 12239212716 W Palmetto St, Ste 4Florence, SC 29501(843) 799-5235Fax: (843) 799-5290Mon - Fri 9:00 to 5:00


Provider ID: 1297764180 N Irby StFlorence, SC 29501-3456(803) 896-9477Fax: (803) 896-5646Mon - Fri 8:30 to 5:00


Florence County Health Depart-ment Provider ID: 774921Florence County Hlth Dept145 E Cheves StFlorence, SC 29506-2526(843) 661-4835Mon - Fri 9:00 to 5:00


Pee Dee Mental Health Center Provider ID: 1240052125 E Cheves StFlorence, SC 29506-2526(843) 317-4089Fax: (843) 317-4096Mon - Tue, Fri 8:30 to 5:00 Wed - Thu 8:30 to 7:00

Pee Dee Mental Health Center Provider ID: 1240052Pee Dee Lake City Clinic675 N Matthews RdLake City, SC 29560-7027(843) 394-4882Fax: (843) 394-2603Mon - Tue, Fri 8:30 to 5:00 Wed - Thu 8:30 to 7:00

Diagnostic Center

Musc Health Lake City Imaging

Center Provider ID: 1727955Musc Health Lake City Imaging Cent148 Sauls St, Ste FLake City, SC 29560-2677(843) 699-9440Mon - Fri 8:00 to 5:00



37719585

Ancillary Providers

Florence

Diagnostic Imaging

Inmed Diagnostic Services Of Sc

LLC Provider ID: 957027Inmed Diagnostic Services Of Sc Ll1120 W Evans StFlorence, SC 29501-3320(843) 292-0082Fax: (803) 292-0086Mon - Fri 7:00 to 5:00

Palmetto Imaging Inc DBA

Florence MRI Provider ID: 1755335Florence MRI And Imaging805 S Irby StFlorence, SC 29501-5236(843) 292-0400Fax: (843) 292-0470Mon - Fri 8:00 to 6:00

Dialysis

Fmc Dialysis Pee Dee Dialysis Ctr Provider ID: 876909Fmc Dialysis Pee Dee331 Elizabeth Anne CtLake City, SC 29560(843) 394-3944Fax: (843) 394-1683Mon - Fri 9:00 to 5:00

Fmc Freedom Dialysis Provider ID: 876013Florence Freedom1520 Freedom BlvdFlorence, SC 29505(843) 667-0654Fax: (843) 292-9489Mon - Fri 9:00 to 5:00

Fresenius Kidney Care Florence

Home Provider ID: 19828881465 Pamplico HwyFlorence, SC 29505-6173(843) 667-6223Fax: (843) 667-9670Mon - Sat 5:00 to 6:00

Fresenius Kidney Care Florence

Medical M Provider ID: 1654017181 E Evans St, Ste BFlorence, SC 29506-5503(843) 679-0550Fax: (843) 679-0599Mon, Wed, Fri 6:00 to 8:00

Fresenius Med Care Church St Provider ID: 871685Fmc Church St406 S Church StFlorence, SC 29506(843) 664-3074Mon - Fri 9:00 to 5:00

Fresenius Med Care Florence Dialysis Provider ID: 875044Florence Dialysis Ctr435 N Cashua DrFlorence, SC 29501(843) 669-0825Fax: (843) 665-6343Mon - Fri 9:00 to 5:00

Fresenius Med Care Johnsonville Provider ID: 877435200 Stuckey StJohnsonville, SC 29555(843) 380-1581Fax: (843) 380-1753Mon - Fri 9:00 to 5:00

Kelley Corners Dialysis Provider ID: 2324194231 Kelley StLake City, SC 29560-2446(843) 394-3847Fax: (843) 394-3966Mon, Wed, Fri 6:00 to 1:00


A1 Medical Provider ID: 7709172659 Tv RdFlorence, SC 29501(843) 661-2166Fax: (843) 679-5655Mon - Fri 9:00 to 5:00

Childrens Care Pharmacy Provider ID: 7738031530 Mclure CtFlorence, SC 29505(843) 679-1881Fax: (843) 679-1887Mon - Fri 9:00 to 5:00

Crossway Medical Provider ID: 7711971412 Pamplico HwyFlorence, SC 29505(843) 292-8797Mon - Fri 8:30 to 5:00

Hanger Clinic Provider ID: 134894Hanger Prosthetic & Orthotics Inc D326 South Dargan StreetFlorence, SC 29506-2537(843) 669-8509Mon - Fri 9:00 to 5:00

Hanger Prosthetics & Orthotics

Provider ID: 914015326 S Dargan StFlorence, SC 29506-2537(843) 669-8509Fax: (843) 667-3590Mon - Fri 9:00 to 5:00

K J Pharmacy 129 Provider ID: 1323111K J Pharmacy 129240 Kelley StLake City, SC 29560(843) 374-1110Fax: (843) 374-1117Mon - Fri 8:00 to 7:00 Sat 8:00 to 5:00

Lincare Provider ID: 7766042325 Prosperity WayFlorence, SC 29501(843) 669-7900Fax: (843) 669-7904Mon - Fri 9:00 to 5:00



37719585

Ancillary Providers

Florence

Durable Medical Equipment - cont.

Lincare Inc Provider ID: 3780452325 Prosperity WayFlorence, SC 29501-0831(843) 669-7900Fax: (843) 669-7904Mon - Fri 8:00 to 5:00

Linkia Provider ID: 769903326 S Dargan StFlorence, SC 29506-2537(843) 669-8509Fax: (843) 667-3590Mon - Fri 9:00 to 5:00

Low Country Home Medical

Equipment Co In Provider ID: 956369Low Country Home Medical Equip-ment1947 Hoffmeyer Rd, Ste AFlorence, SC 29501-3935(843) 662-3043Mon - Fri 8:00 to 5:00

Lowcountry Pharmacy Provider ID: 775246Lowcountry Pharmacy LLC1530 Mclure CtFlorence, SC 29505-6174(843) 656-2973Fax: (843) 656-2978Mon - Fri 9:00 to 5:00

Medi Home Care Provider ID: 7770602391 David H Mcleod Blvd, Ste BFlorence, SC 29501-3934(843) 667-0906Fax: (843) 667-0918Mon - Fri 9:00 to 5:00

Palmetto Diabetic Center Provider ID: 1173521211 S Jones Rd, Ste BOlanta, SC 29114(843) 396-9730Fax: (843) 396-9735Mon - Fri 9:00 to 5:00

Palmetto Infusion Services Provider ID: 2135063161 Dozier Blvd, Ste 110Florence, SC 29501(800) 809-1265Mon - Fri 8:00 to 5:00

Palmetto Infusion Services LLC

Provider ID: 856547Palmetto Infusion Services161 Dozier Blvd, Ste 100Florence, SC 29501-4026(800) 809-1265Fax: (843) 584-8502Mon - Fri 8:00 to 5:00

Palmetto Medical Equipment Of

Florence Provider ID: 955272Palmetto Medical Equipment Of Flore418a S Coit StFlorence, SC 29501-4715(843) 629-8236Fax: (843) 629-8261Mon - Fri 9:00 to 5:00

Pharmacy Express LLC Provider ID: 14962212803 W Palmetto StFlorence, SC 29501(843) 665-2066Fax: (843) 665-5128Mon - Fri 9:00 to 5:00

Tucker Wells Medical Inc Provider ID: 773425198 E Cheves StFlorence, SC 29506(843) 665-2092Fax: (843) 665-5205Mon - Fri 9:00 to 5:00

Home Health Care

Florence Home Care Services LLC

Provider ID: 2087527Carolinas Home Health1945 W Palmetto St, Ste 405Florence, SC 29501-3919(843) 629-6811Fax: (843) 629-6870Mon - Wed, Fri 8:00 to 4:30 Thu 8:00 to 4:34

Florence Visiting Nurses Service

Inc Provider ID: 770977Co Atlantic Homecare Inc1605 W Palmetto StFlorence, SC 29502(843) 667-1515Fax: (843) 667-0076Mon - Fri 8:30 to 5:00

Loving Arms Home Care LLC Provider ID: 1575948608 Gregg Ave, Ste 202Florence, SC 29501-4317(843) 879-4837Fax: (704) 862-6777Mon - Sat 8:00 to 5:00

Infusion Therapy

Palmetto Infusion Services

Provider ID: 2135063161 Dozier Blvd, Ste 110Florence, SC 29501(800) 809-1265Mon - Fri 8:00 to 5:00

Palmetto Infusion Services LLC

Provider ID: 856547Palmetto Infusion Services161 Dozier Blvd, Ste 100Florence, SC 29501-4026(800) 809-1265Fax: (843) 584-8502Mon - Fri 8:00 to 5:00



37719585

Ancillary Providers

Florence

Infusion Therapy - cont.

Professional Pharmacy Services

Inc Provider ID: 7759492213 W Palmetto StFlorence, SC 29501(843) 665-4051Fax: (843) 665-4786Mon - Fri 8:00 to 5:00


Doctors Care Provider ID: TPV67578-012200 S Irby StFlorence, SC 29505(843) 662-9945Fax: (843) 662-9946

Doctors Care Provider ID: TPV67768-012410 Hoffmeyer RdFlorence, SC 29501(843) 662-8182Fax: (843) 662-8183

Executor Diagnostics LLC Provider ID: 7722731929a Mountain Laurel CtFlorence, SC 29505(843) 292-1112Fax: (843) 292-1118Mon - Fri 9:00 to 5:00

Labcorp Provider ID: TPV1476305-011508a N Cashua DrFlorence, SC 29501(843) 679-0687Fax: (843) 669-8328

Labcorp Provider ID: TPV1476306-01711 Saluda DrFlorence, SC 29501(843) 665-2030Fax: (843) 665-9616

Laboratory Corp Of America Provider ID: 1039351508 N Cashua Dr, Ste AFlorence, SC 29501-6970(843) 679-0687Mon - Fri 9:00 to 5:00

Laboratory Corp Of America Provider ID: 103935901 E Cheves StFlorence, SC 29506-2773(843) 667-1891Mon - Fri 9:00 to 5:00

Regional Health Testing Center

LLC Provider ID: TPV117888-01376 W. Palmetto St, Ste 1Florence, SC 29501(843) 799-0642Fax: (843) 799-0933

Regional Health Testing Center

LLC Provider ID: TPV3739871-01376 W. Palmetto St, Ste 1Florence, SC 29501(843) 799-0642Fax: (843) 799-0933


Florence Brace And Limb Inc Provider ID: 13106212293 S Irby StFlorence, SC 29505(843) 665-1102Fax: (843) 799-5097Mon - Fri 9:00 to 5:00

Hanger Clinic Provider ID: 134894Hanger Prosthetic & Orthotics Inc D326 South Dargan StreetFlorence, SC 29506-2537(843) 669-8509Mon - Fri 9:00 to 5:00

Palmetto Prosthetics And

Orthotics Inc Provider ID: 770059Palmetto Prosthetics And Orthotics451 W Cheves StFlorence, SC 29501(843) 673-9222Fax: (843) 673-0333Mon - Fri 8:30 to 5:00


Healthsouth Rehabilitation

Hospital Of F Provider ID: 972517Healthsouth Rehabilitation Center I900 E Cheves StFlorence, SC 29506-2704(843) 679-9000Fax: (843) 678-3754Mon - Sun 12:00 to 12:00


Carolina Sleep Diagnostics Inc Provider ID: 7773782724 W Palmetto St, Ste 12Florence, SC 29501(843) 678-8998Fax: (843) 678-8999Mon - Fri 9:00 to 5:00

Palmetto Sleep Lab LLC Provider ID: 941998Palmetto Sleeplab LLC2724 West Palmetto Street, Ste 12Florence, SC 29501-4909(843) 651-2624Fax: (843) 491-4023Mon - Fri 9:00 to 4:00

Speech Therapy

Mcleod Regional Medical Center

Provider ID: 772899555 E Cheves StFlorence, SC 29501(843) 777-4422Mon - Fri 9:00 to 5:00



37719585

Ancillary Providers

Horry


Grande Dunes Surgery Center Provider ID: 7718001021 Cipriana Dr, Ste 100Myrtle Beach, SC 29572(843) 449-7885Mon - Fri 9:00 to 5:00

Parkway Surgery Center LLC Provider ID: 918806827 82nd PkwyMyrtle Beach, SC 29572-4607(843) 286-2020Fax: (843) 286-2030Mon - Thu 7:00 to 4:30 Fri 7:00 to 3:30

Rivertown Surgery Center Provider ID: 776947822 Farrar DrConway, SC 29526-8747(843) 347-9587Mon - Fri 9:00 to 5:00

Strand Gastrointestinal Endo-

scopy Center Provider ID: 770356Strand Gastrointestinal Endoscopy C945 82nd Pkwy, Ste 2Myrtle Beach, SC 29572(843) 839-2581Mon - Fri 9:00 to 5:00


Horry County Commission On

Alcohol Drug Provider ID: 805616Shoreline Bhs2404 Wise RdConway, SC 29526-5521(843) 365-8884Fax: (843) 365-7164Mon - Wed 8:00 to 8:30 Thu - Fri 8:00 to 5:00

Horry County Commission On

Alcohol Drug Provider ID: 805616Womens Recovery Center901 Bell StConway, SC 29526-4113(843) 488-1300Fax: (843) 488-1330Mon - Fri, Sun 12:00 to 12:00


Provider ID: 12977641201 3rd Ave, Ste 107Conway, SC 29526-5105(803) 896-9477Fax: (803) 896-5646Mon - Fri 8:30 to 5:00

South Carolina Youth Advocate

Program Provider ID: 1219364South Carolina Youth Advocate Progr148 Elk Dr, Unit 4Murrells Inlet, SC 29576(843) 238-9691Fax: (843) 238-4588Mon - Fri 9:00 to 5:00

South Carolina Youth Advocate

Program Provider ID: 1219364South Carolina Youth Advocate Progr604 Gregg AveMurrells Inlet, SC 29576(843) 661-7080Fax: (843) 667-4737Mon - Fri 9:00 to 5:00


Horry County Health Department

Provider ID: 774775Sc Dhec - Bureau Of Finance1804 Main StConway, SC 29526(843) 248-1500Mon - Fri 9:00 to 5:00

Waccamaw Crs Provider ID: 772950Bureau Of Finance - Scdhec2830 Oak StConway, SC 29526-4560(803) 898-0784Fax: (803) 898-0613Mon - Fri 9:00 to 5:00


Waccamaw Center For Mental

Health Provider ID: 1240063164 Waccamaw Medical Park DrConway, SC 29526-8903(843) 347-5060Fax: (843) 347-4102Mon - Fri 8:30 to 5:00


Minuteclinic Diagnostic South Carolina Provider ID: 804188Minuteclinic Diagnostic Of Sc LLC3710 Highway 17Murrells Inlet, SC 29576-5005(866) 389-2727Fax: (401) 652-9093Mon - Fri 8:30 to 7:30 Sat 9:00 to 5:30 Sun 10:00 to 5:30

Minuteclinic Diagnostic South Carolina Provider ID: 804188Minuteclinic Diagnostic Of Sc LLC1010 Highway 17 NNorth Myrtle Beach, SC 29582-2806(866) 389-2727Fax: (401) 652-9093Mon - Fri 8:30 to 7:30 Sat 9:00 to 5:30 Sun 10:00 to 5:30



37719585

Ancillary Providers

Horry

Convenient Care Clinic - cont.

Minuteclinic Diagnostic South Carolina Provider ID: 804188Minuteclinic Diagnostic Of Sc LLC1303 38th Ave NMyrtle Beach, SC 29577-1315(866) 389-2727Fax: (401) 652-9093Mon - Fri 8:30 to 7:30 Sat 9:00 to 5:30 Sun 10:00 to 5:30

Minuteclinic Diagnostic South Carolina Provider ID: 8080261010 Highway 17 NNorth Myrtle Beach, SC 29582-2806(866) 389-2727Fax: (401) 652-9093Mon - Fri 8:30 to 7:30 Sat 9:00 to 5:30 Sun 10:00 to 5:30

Minuteclinic Diagnostic South Carolina Provider ID: 8080261303 38th Ave NMyrtle Beach, SC 29577-1315(866) 389-2727Fax: (401) 652-9093Mon - Fri 8:30 to 7:30 Sat 9:00 to 5:30 Sun 10:00 to 5:30

Minuteclinic Diagnostic South Carolina Provider ID: 8080263710 Highway 17, Corner Of Hwy 707Murrells Inlet, SC 29576-5005(866) 389-2727Fax: (401) 652-9093Mon - Fri 8:30 to 7:30 Sat 9:00 to 5:30 Sun 10:00 to 5:30

Minuteclinic Diagnostic South

Carolina Provider ID: 808026Conway2996 E Highway 501Conway, SC 29526-9532(866) 389-2727Fax: (401) 652-9093Mon - Fri 8:30 to 7:30 Sat 9:00 to 5:30 Sun 10:00 to 5:30

Minuteclinic LLC Provider ID: 1129577Minuteclinic In Cvs/Pharmacy1010 Highway 17 NNorth Myrtle Beach, SC 29582-2806(866) 389-2727Fax: (401) 216-3854Mon - Fri 8:30 to 7:30 Sat 9:00 to 5:30 Sun 10:00 to 5:30

Minuteclinic LLC Provider ID: 1129577Minuteclinic In Cvs/Pharmacy1303 38th Ave NMyrtle Beach, SC 29577-1315(866) 389-2727Fax: (401) 216-3854Mon - Fri 8:30 to 7:30 Sat 9:00 to 5:30 Sun 10:00 to 5:30

Minuteclinic LLC Provider ID: 1129577Minuteclinic In Cvs/Pharmacy2996 E Highway 501Conway, SC 29526-9532(866) 389-2727Fax: (401) 216-3854Mon - Fri 8:30 to 7:30 Sat 9:00 to 5:30 Sun 10:00 to 5:30

Minuteclinic LLC Provider ID: 1129577Minuteclinic In Cvs/Pharmacy3411 Socastee BlvdMyrtle Beach, SC 29588-6111(866) 389-2727Fax: (401) 216-3854Mon - Fri 8:30 to 7:30 Sat 9:00 to 5:30 Sun 10:00 to 5:30

Minuteclinic LLC Provider ID: 1129577Minuteclinic In Cvs/Pharmacy3710 Highway 17, Corner Of Hwy 707Murrells Inlet, SC 29576-5005(866) 389-2727Fax: (401) 216-3854Mon - Fri 8:30 to 7:30 Sat 9:00 to 5:30 Sun 10:00 to 5:30

Diagnostic Center

Tidelands Health Imaging Provider ID: 1756386Tidelands Health Imaging At Long Ba900 21st Ave NMyrtle Beach, SC 29577-7483(843) 916-1700Fax: (843) 916-9460Mon - Fri 8:30 to 5:00

Diagnostic Imaging

Inmed Diagnostic Services Of Sc

LLC Provider ID: 957027In Med Diagnostic Services Of Sc Ll4701 Oleander Dr, Ste CMyrtle Beach, SC 29577-5762(843) 692-0040Fax: (843) 692-0046Mon - Fri 9:00 to 5:00



37719585

Ancillary Providers

Horry

Diagnostic Imaging - cont.

Tidelands Health Imaging Provider ID: 2215116Tidelands Health Imaging At The Mar2200 Crow Lane, Ste 103Myrtle Beach, SC 29577-1663(843) 848-5101Fax: (843) 848-5105Mon - Fri 8:30 to 5:00

Dialysis

Conway Dialysis Ctr Provider ID: 876039838 Farrar DrConway, SC 29526(843) 347-5111Fax: (843) 347-4811Mon - Fri 9:00 to 5:00

Fmc Dialysis Svcs Murrells Inlet Provider ID: 874089Murrells Inlet Dialysis5011 Hwyy 17 BypMurrells Inlet, SC 29576(843) 357-4840Fax: (843) 357-8144Mon - Fri 9:00 to 5:00

Fmc Dialysis Svcs N Myrtle Beach Provider ID: 874219Fmc Dialysis North Myrtle710 Highway 17 S, Ste ANorth Myrtle Beach, SC 29582(843) 361-1709Fax: (843) 361-7930Mon - Fri 9:00 to 5:00

Fresenius Med Care Myrtle Beach Provider ID: 875523Fmc Myrtle Beach4592 Oleander DrMyrtle Beach, SC 29577(843) 839-2855Fax: (843) 839-8256Mon - Fri 9:00 to 5:00

Fresenius Med Care West Conway Provider ID: 876422Fmc West Conway1702 Mill Pond RdConway, SC 29527(843) 488-0328Fax: (843) 488-0348Mon - Fri 9:00 to 5:00

Longs Dialysis Provider ID: 77047590 Cloverleaf DrLongs, SC 29568-9262(843) 399-5275Fax: (843) 399-5314Mon - Fri 9:00 to 5:00

Longs Dialysis Provider ID: 81126590 Cloverleaf Dr, Ste 306Longs, SC 29568-9262(843) 399-5275Fax: (843) 399-5314Mon, Wed, Fri 6:00 to 10:00

Loris Dialysis Ctr Provider ID: 8737283827 Bell StLoris, SC 29569(843) 756-0300Fax: (843) 756-0027Mon - Fri 9:00 to 5:00

Market Commons Dialysis Center

Provider ID: 11582781350 Farrow Pkwy, Ste 100Myrtle Beach, SC 29577-1668(843) 839-0966Fax: (843) 839-0977Mon, Wed, Fri 4:30 to 4:30

Myrtle Beach Dialysis Provider ID: 7719343919 Mayfair StMyrtle Beach, SC 29577-5773(877) 678-8603Fax: (843) 448-4930Mon - Sat 6:00 to 7:00


Aerocare Provider ID: 7726013930 Wesley StMyrtle Beach, SC 29579(843) 236-7776Fax: (843) 236-7774Mon - Fri 9:00 to 5:00

American Homepatient Provider ID: 7876014209 Mayfair St, Ste BMyrtle Beach, SC 29577(843) 839-1649Fax: (843) 839-1699Mon - Fri 8:30 to 5:00

Apria Healthcare LLC Provider ID: 7723183558b Old Kings HwyMurrells Inlet, SC 29576-6367(843) 357-3520Fax: (843) 357-3530Mon - Fri 8:30 to 5:00 Sat - Sun 12:00 to 12:00

Bailey, Byron MD Provider ID: 1191173Roper St Francis Physician Partners4823 Hwy 17 N, Ste BMurrells Inlet, SC 29576-5037(843) 723-8823Fax: (843) 766-6551Mon - Fri 9:00 to 5:00

Cape Fear Orthotics & Prosthetics

Provider ID: 932356Cape Fear Orthotics And Prostetics2100 Old Highway 17 N, Ste 102North Myrtle Beach, SC 29582-2242(843) 249-2500Fax: (843) 249-2544Mon - Fri 8:00 to 5:00

Carolina Care Medical Supply LLC

Provider ID: 7718253152 W Highway 501Conway, SC 29526(843) 365-2273Fax: (843) 369-2267Mon - Fri 9:00 to 5:00



37719585

Ancillary Providers

Horry


Cuddy, Brian MD Provider ID: 1190713Roper St Francis Physician Partners4823 Hwy 17 N, Ste BMurrells Inlet, SC 29576-5037(843) 723-8823Fax: (843) 766-6551Mon - Fri 9:00 to 5:00

Express Medical Equipment Inc Provider ID: 777073195 Prather Park Dr, Unit 2Myrtle Beach, SC 29588(843) 283-3863Fax: (843) 236-4271Mon - Fri 9:00 to 5:00

Family Care Medical Supply Provider ID: 7726254251 Main StLoris, SC 29569(843) 756-6869Fax: (843) 756-6890Mon - Fri 9:00 to 5:00

Firilas, Anthony MD Provider ID: 1190761Roper St Francis Physician Partners4630 Highway 17Murrells Inlet, SC 29576-5016(843) 958-1281Fax: (843) 958-1278Mon - Fri 9:00 to 5:00

First Choice Medical Respiratory

Servic Provider ID: 772396First Choice Medical Respiratory S3357 Casey StLoris, SC 29569(843) 756-4300Fax: (843) 756-0811Mon - Fri 9:00 to 5:00

Gluzberg, Tatyana MD Provider ID: 1190796Roper St. Francis Physician Partner4959 Highway 17Murrells Inlet, SC 29576-5041(843) 357-1299Fax: (843) 357-2264Mon - Fri 9:00 to 5:00

Gluzberg, Tatyana MD Provider ID: 1190799Roper St. Francis After Hours Care-912 Inlet Square Dr, Ste AMurrells Inlet, SC 29576-7812(843) 357-1299Fax: (843) 651-1047Mon - Fri 9:00 to 5:00

Incare Medical Equipment Myrtle

Beach Provider ID: 775707Medi Home Care4711 Highway 17 Byp SMyrtle Beach, SC 29577-6693(843) 293-2122Fax: (843) 293-4009Mon - Fri 8:00 to 5:00

Khoury, George MD Provider ID: 1190883Roper St Francis Physician Partners4823 Hwy 17 N, Ste BMurrells Inlet, SC 29576-5037(843) 723-8823Fax: (843) 766-6551Mon - Fri 9:00 to 5:00

Lincare Provider ID: 7766041644 Dividend LoopMyrtle Beach, SC 29577-1876(843) 445-9997Fax: (843) 445-9838Mon - Fri 9:00 to 5:00

Lincare Inc Provider ID: 3780451644 Dividend LoopMyrtle Beach, SC 29577-1876(843) 445-9997Fax: (843) 445-9838Mon - Fri 8:00 to 5:00

Lincare Inc Provider ID: 3780454209 Mayfair St, Ste BMyrtle Beach, SC 29577(843) 839-1649Fax: (843) 839-1699Mon - Fri 8:30 to 5:00

Lincare Inc Provider ID: 378045723 Seaboard StMyrtle Beach, SC 29577-6511(888) 461-3116

Lincare Inc Provider ID: 378045American Home Patient1301 48th Ave N, Ste CMyrtle Beach, SC 29577-5427(843) 839-1613Fax: (843) 839-1699Mon - Fri 9:00 to 5:00

Lincare Inc Provider ID: 378045Coastal Home Care1400 Highway 544Conway, SC 29526-8445(843) 347-0711Fax: (843) 347-0833Mon - Fri 8:30 to 5:00

Palmetto Infusion Services Myrtle

Beach Provider ID: 771717Palmetto Infusion Services Myrtle B317 Hinson DriveMyrtle Beach, SC 29579-4435(843) 839-2550Fax: (843) 839-2555Mon - Fri 8:00 to 5:00

Reliable Medical Of Conway LLC Provider ID: 810692Reliable Medical Of Conway2381 Highway 544, Unit 1Conway, SC 29526-9232(303) 905-8527Fax: (303) 663-7109Mon - Fri 8:30 to 5:00



37719585

Ancillary Providers

Horry


Rotech Provider ID: 328392American Health Services11692 Bypass 17Murrells Inlet, SC 29576(843) 357-1691Fax: (843) 357-8808Mon - Fri 8:30 to 5:30

Ruonala Durable Medical Equip-

ment Provider ID: 771448423 Main StNorth Myrtle Beach, SC 29582(877) 674-4671Mon - Fri 9:00 to 5:00

Steichen, John MD Provider ID: 1191096Roper St. Francis Physician Partner4835 Hwy 17 N Bypass, Ste BMurrells Inlet, SC 29576-5037(843) 723-8823Fax: (843) 766-6551Mon - Fri 9:00 to 5:00

Stuart, Robert MD Provider ID: 1191097Roper St Francis Physician Partners4823 Hwy 17 N, Ste BMurrells Inlet, SC 29576-5037(843) 723-8823Fax: (843) 766-6551Mon - Fri 9:00 to 5:00

The Mobility Center Of The

Grand Strand Provider ID: 929111The Mobility Center Of The Grand St7831 N Kings HwyMyrtle Beach, SC 29572-6054(843) 692-8001Fax: (843) 449-9858Mon - Fri 9:00 to 5:00

Worthington, Ward MD Provider ID: 1191155Roper St Francis Physician Partners4823 Hwy 17 N, Ste BMurrells Inlet, SC 29576-5037(843) 723-8823Fax: (843) 766-6551Mon - Fri 9:00 to 5:00

Worthington, Ward MD Provider ID: 1191155Roper St. Francis Physician Partner4835 Hwy 17 N Bypass, Ste BMurrells Inlet, SC 29576-5037(843) 723-8823Fax: (843) 766-6551Mon - Fri 9:00 to 5:00

Wright, Lisa MD Provider ID: 1334445Roper St. Francis Physician Partner4959 Highway 17Murrells Inlet, SC 29576-5041(843) 357-1299Fax: (843) 357-2264Mon - Fri 5:00 to 9:00 Sat 8:00 to 4:00


Grady, Cynthia MD Provider ID: 1981735Health Care Partners Of South Carol1608 Main StConway, SC 29526-3572(843) 248-4700Mon - Sat 8:00 to 5:00

Koike, Jun MD Provider ID: 1720902Health Care Partners Of South Carol1608 Main StConway, SC 29526-3572(843) 248-4700Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00

Little River Medical Center Provider ID: 8299187724 N Kings HwyMyrtle Beach, SC 29572(843) 839-3939Mon - Fri 9:00 to 5:00

Nillas, Romeo MD Provider ID: 1187029Little River Medical Center Inc1075 Mr Joe White Ave, Ste 101Myrtle Beach, SC 29577(843) 663-8000Fax: (843) 839-2052Mon - Fri 8:30 to 5:30

Norton, Laura PHD Provider ID: 1139001Little River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 4:30

Taylor, Laura MD Provider ID: 2202873Little River Medical Center Inc1075 Mr Joe White Ave, Unit 101Myrtle Beach, SC 29577-5658(843) 663-8000Mon - Fri 8:30 to 5:30 Sat - Sun 8:00 to 6:00

Taylor, Laura MD Provider ID: 2202873Little River Medical Center Inc3236 Holmestown Rd, Unit E1Myrtle Beach, SC 29588-7495(843) 663-8000Mon - Fri 8:30 to 5:30

Taylor, Laura MD Provider ID: 2202873Little River Medical Center Inc4220 Carolina Exchange DrMyrtle Beach, SC 29579-4220(843) 663-8000Mon - Fri 8:30 to 5:30 Sat - Sun 8:00 to 6:00



37719585

Ancillary Providers

Horry


cont.

Taylor, Laura MD Provider ID: 2202873Little River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30 Sat 9:00 to 1:00 Sun 8:00 to 6:00

Taylor, Laura MD Provider ID: 2202873Little River Medical Center Inc7724 N Kings HwyMyrtle Beach, SC 29572-3041(843) 663-8000Mon - Fri 8:30 to 5:30

Taylor, Laura MD Provider ID: 2202873Little River Medical Inc3817 Main StLoris, SC 29569-3017(843) 663-8000Mon - Fri 8:30 to 5:30

Toman, Jordan MD Provider ID: 1596165Little River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-3303Mon - Fri 8:30 to 5:30

Home Health Care

Incare Home Health Provider ID: 777229106 Highway 17 S, Sundial CenterNorth Myrtle Beach, SC 29582(843) 280-4148Fax: (843) 280-6978Mon - Fri 9:00 to 5:00

Incare Home Health Provider ID: 7772291261 E Highway 501Conway, SC 29526-8965(843) 347-6418Fax: (843) 347-6430Mon - Fri 9:00 to 5:00

Incare Home Health Provider ID: 777229164 Waccamw Med Park Ct, Ste BConway, SC 29526(843) 347-6418Fax: (843) 347-6430Mon - Fri 9:00 to 5:00

Incare Home Health Provider ID: 7772294682 Highway 17 SMyrtle Beach, SC 29577(843) 293-4614Fax: (843) 293-6336Mon - Fri 9:00 to 5:00

Incare Home Health Provider ID: 7772294685 Highway 17 Byp SMyrtle Beach, SC 29577-6681(843) 293-4614Fax: (843) 293-5030Mon - Fri 9:00 to 5:00

Infusion Therapy

Palmetto Infusion Services Myrtle

Beach Provider ID: 771717Palmetto Infusion Services Myrtle B317 Hinson DriveMyrtle Beach, SC 29579-4435(843) 839-2550Fax: (843) 839-2555Mon - Fri 8:00 to 5:00


Labcorp Provider ID: TPV1476312-01812 Farrar Dr Ste AConway, SC 29526(843) 347-8480Fax: (843) 347-8489

Labcorp Provider ID: TPV1476313-011021 Cipriana Drive Ste 260Myrtle Beach, SC 29572(843) 497-6726Fax: (843) 497-5770

Quest Diagnostics Provider ID: TPV118088-01909 Medical CirMyrtle Beach, SC 29572(843) 449-4897Fax: (843) 449-4529

Quest Diagnostics Provider ID: TPV287767-01909 Medical CirMyrtle Beach, SC 29572(866) 697-8378Fax: (843) 449-4529

Quest Diagnostics Provider ID: TPV66314-01909 Medical Cir Ste 909Myrtle Beach, SC 29572(866) 697-8378Fax: (843) 449-4529

Solstas Quest Diagnostics Provider ID: TPV118038-01660 Singleton Ridge Rd, Suite BConway, SC 29528(843) 347-4416Fax: (843) 347-4422

Solstas Quest Diagnostics Provider ID: TPV360016-01660 Singleton Ridge Rd, Ste BConway, SC 29528(842) 347-4416


A Perfect Fit Provider ID: 7747597719 N Kings HwyMyrtle Beach, SC 29572(843) 692-2555Fax: (843) 692-9976Mon - Fri 9:00 to 5:00



37719585

Ancillary Providers

Horry

Orthotics & Prosthetics - cont.

Carolina Orthotics And Prosthetic

Of Myr Provider ID: 773551Carolina Orthotics And Prosthetic O9714 N Kings Hwy, Ste 142Myrtle Beach, SC 29572(843) 497-9558Fax: (843) 497-9130Mon - Fri 9:00 to 5:00

Carolina Orthotics And Pros-

thetics LLC Provider ID: 770576Carolina Orthotics And Prosthetics11871 Plaza Dr, Unit 6Murrells Inlet, SC 29576-7450(843) 651-5347Fax: (843) 651-3451Mon - Fri 9:00 to 5:00

Carolina Orthotics And Pros-

thetics LLC Provider ID: 770576Carolina Orthotics And Prosthetics1294 Professional Dr, Ste BMyrtle Beach, SC 29577-5753(843) 497-9558Fax: (843) 497-9130Mon - Fri 9:00 to 5:00

Floyd Brace Company Inc Provider ID: 921764164 Waccamaw Medical Park Ct, Ste BConway, SC 29526-8965(843) 234-0627Thu 9:00 to 12:00

Lyons Prosthetics And Orthotics

Provider ID: 776096123 Waccamaw Medical Park DrConway, SC 29526(843) 347-5800Mon - Fri 9:00 to 5:00

Physical Therapy

Cora South Carolina Provider ID: 220491711931 Plaza DrMurrells Inlet, SC 29576-9356(843) 357-4039Fax: (843) 357-4227Mon - Fri 8:00 to 5:00


Carolina Healthcare Inc DBA

Compass Post Provider ID: 1048233Compass Post Acute Rehabilitation2320 Highway 378Conway, SC 29527-4911(843) 397-2273Fax: (843) 397-0854Mon - Sun 12:00 to 12:00

Conway Manor Provider ID: 9673943300 4th AveConway, SC 29527-6002(843) 248-5728Fax: (843) 248-6698Mon - Sun 12:00 to 12:00


Coastal Sleep Lab Inc Provider ID: 1224351Coastal Sleep Lab1570 Highway 9 ELongs, SC 29568(843) 399-3900Fax: (843) 399-3901Mon - Sun 8:00 to 7:00

Coastal Sleep Lab Inc Provider ID: 12243514420 Oleander Dr, Ste 105Myrtle Beach, SC 29577(843) 455-9700Fax: (843) 946-9460Mon - Sun 8:00 to 7:00

Palmetto Sleep Lab LLC Provider ID: 941998Palmetto Sleeplab LLC1087 Redi Mix RdLittle River, SC 29566-7132(843) 444-0800Fax: (843) 444-0881Mon - Fri 9:00 to 4:00

Palmetto Sleep Lab LLC Provider ID: 941998Palmetto Sleeplab LLC1601 N Oak St, Ste 309Myrtle Beach, SC 29577-3579(843) 808-0800Fax: (843) 357-1471Mon - Fri 9:00 to 4:00

Palmetto Sleep Lab LLC Provider ID: 941998Palmetto Sleeplab LLC243 Singleton Ridge Rd, Ste DConway, SC 29526-8391(843) 444-0800Fax: (843) 357-1471Mon - Fri 9:00 to 4:00

Palmetto Sleep Lab LLC Provider ID: 941998Palmetto Sleeplab LLC4959 Highway 17, Unit AMurrells Inlet, SC 29576-5041(843) 444-0800Fax: (843) 444-0881Mon - Fri 9:00 to 4:00



37719585

Ancillary Providers

Marion



Provider ID: 12977641305 N Main St, Pob 1094Marion, SC 29571-1094(803) 896-9477Fax: (803) 896-5646Mon - Fri 8:30 to 5:00


Marion County Health Depart-

ment Provider ID: 776743Sc Dhec - Bureau Of Finance206 Airport Ct, Ste BMullins, SC 29574(843) 423-8295Mon - Fri 9:00 to 5:00


Pee Dee Mental Health Center Provider ID: 1240052Pee Dee Marion County Clinic1100 S Main StMarion, SC 29571-4914(843) 431-1100Fax: (843) 431-1103Mon - Tue, Fri 8:30 to 5:00 Wed - Thu 8:30 to 7:00

Dialysis

Fresenius Med Care Marion Provider ID: 874088Marion Dialysis109 Merritt CtMarion, SC 29571(843) 423-4673Fax: (843) 423-4675Mon - Fri 9:00 to 5:00


Lincare Inc Provider ID: 378045401 N Main StMarion, SC 29571-3029(843) 431-9340Fax: (843) 431-9342Mon - Fri 8:00 to 5:00

Momentum Medical Brace And

Limb Provider ID: 7721302876 W Hwy 76Mullins, SC 29574(843) 423-2337Fax: (843) 423-2338Mon - Fri 9:00 to 5:00


Burke, Valerie MD Provider ID: 776707Health Care Partners Of Sc145 Palmetto Pointe RdMarion, SC 29571(843) 248-4700Mon - Fri 9:00 to 5:00


Marion County Medical Center Provider ID: TPV118238-012829 E Highway 76Mullins, SC 29574(843) 431-2550

Marion County Medical Center Provider ID: TPV67516-012829 E Highway 76Mullins, SC 29574(843) 431-2550


Musc Health Mullins Nursing

Center Provider ID: 924124518 S Main StMullins, SC 29574(843) 464-8211Fax: (843) 464-1330Mon - Sun 12:00 to 12:00



37719585

Ancillary Providers

Marlboro



Provider ID: 1297764205 E Market StBennettsville, SC 29512-0453(803) 896-9477Fax: (803) 896-5646Mon - Fri 8:30 to 5:00


Marlboro County Health Depart-

ment Provider ID: 771174Sc Dhec - Bureau Of Finance711 S Parsonage StBennettsville, SC 29512(843) 479-6801Mon - Fri 9:00 to 5:00


Tri County Mental Health Provider ID: 1243211Tricounty Mental Health1035 Cheraw StBennettsville, SC 29512-2422(843) 454-0841Fax: (846) 454-0635Mon - Fri 8:30 to 5:00

Dialysis

Fresenius Med Care Bennettsville Provider ID: 877006Fmc Bennettsville Dialysis1104 Frank W Evans WayBennettsville, SC 29512(843) 479-3817Fax: (843) 479-3819Mon - Fri 9:00 to 5:00

Mccoll Dialysis Provider ID: 9706683595 Highway 15-401 EMc Coll, SC 29570-5918(843) 523-6274Fax: (843) 523-5418Mon, Wed, Fri 5:00 to 6:00


Fowler Pharmacy Provider ID: 1171583301 E Market StBennettsville, SC 29512(843) 479-3831Fax: (843) 747-9383Mon - Fri 9:00 to 6:00


Dundee Manor Provider ID: 964183710 Hwy 15-401 By-Pass WestBennettsville, SC 29512(843) 479-6251Fax: (843) 479-8101Mon - Sun 12:00 to 12:00



37719585

Ancillary Providers

Williamsburg



Provider ID: 1297764209 Short St, Pob 697Kingstree, SC 29556-3926(803) 896-9477Fax: (803) 896-5646Mon - Fri 8:30 to 5:00

Williamsburg County Department

On Alchol Provider ID: 806952Light House301 N Main StHemingway, SC 29554(843) 355-9113Mon - Tue 8:30 to 7:00 Wed - Fri 8:30 to 5:00

Williamsburg County Department

On Alchol Provider ID: 806952Williamsburg County Department On A115 Short StKingstree, SC 29556-3924(843) 355-9113Mon - Thu 8:30 to 7:00 Fri 8:30 to 5:00


Williamsburg County Health

Department Provider ID: 772497Sc Dhec - Bureau Of Finance520 Thurgood Marshall HwyKingstree, SC 29556(843) 355-6012Mon - Fri 9:00 to 5:00



Health Provider ID: 1240063Waccamaw Neighborhood Family Center314 E Main StKingstree, SC 29556-3513(843) 354-5524Fax: (843) 354-7318Mon - Fri 8:30 to 5:00


Health Provider ID: 1240063Williamsburg Clinic501 Nelson BlvdKingstree, SC 29556-4026(843) 354-5453Fax: (843) 354-3322Mon - Fri 8:30 to 5:00

Dialysis

Fresenius Med Care Kingstree Provider ID: 876501Kingstree Dialysis215 N Brooks StKingstree, SC 29556(843) 355-9750Mon - Fri 9:00 to 5:00


American Homepatient Provider ID: 775454331 W Mill StKingstree, SC 29556-3236(843) 354-7090Fax: (843) 354-9050Mon - Fri 9:30 to 3:30 Sat - Sun 12:00 to 12:00

Drucker Drugs And Medical

Equipment Provider ID: 776663110 E Main StKingstree, SC 29556(843) 354-9582Fax: (843) 354-6080Mon - Fri 9:00 to 5:00

Lincare Inc Provider ID: 378045American Homepatient331 W Mill StKingstree, SC 29556-3236(843) 354-7090Fax: (843) 354-9050Mon - Fri 9:30 to 3:30 Sat - Sun 12:00 to 12:00


Laboratory Corp Of America Provider ID: 1039351075 N Fraser St, Ste AHemingway, SC 29554-9190(843) 520-1973Mon - Fri 9:00 to 5:00

Laboratory Corp Of America Provider ID: 103935456 N Main St, Ste AHemingway, SC 29554-9190(845) 558-1150Mon - Fri 9:00 to 5:00



37719585

Allied Providers

Chesterfield

Family Practice

Canipe, Karen APRN Provider ID: 1040690Gender: FemalePalmetto Family Medicine Of Chester316 2nd StCheraw, SC 29520-2404(843) 921-4851Fax: (843) 921-4854Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No


Rhyne, Jack LCSW Provider ID: 925897Gender: MaleCaresouth Carolina500 West BlvdChesterfield, SC 29709-1402(843) 623-5080Fax: (843) 623-5081Mon - Fri 8:30 to 5:00 PCMH: No

Licensed Professional Counselor

Banda, Darlinda LPC Provider ID: 1348095Gender: FemaleRecovery Behavioral Healthcare LLC416 West Blvd, Ste 4Chesterfield, SC 29709(843) 623-5647Fax: (843) 507-1024Mon - Fri 9:00 to 5:00 PCMH: No

Etheridge, Martin LPC Provider ID: 1165872Gender: MaleElite Community Counseling LLC120 N Pearl StPageland, SC 29728(803) 207-7463Fax: (843) 695-7931Mon - Fri 4:30 to 8:00 Sat 11:00 to 2:30 PCMH: No

Evans, Patricia LPC Provider ID: 1404004Gender: FemaleHighly Favored LLC102 Duvall StCheraw, SC 29520(843) 865-7268Fax: (910) 920-9165Mon - Thu 8:00 to 6:00 PCMH: No

Evans, Patricia LPC Provider ID: 1404004Gender: FemaleHighly Favored LLC65 Sanders LnCheraw, SC 29520(843) 865-7005Fax: (910) 920-9165PCMH: No

Wallace, Panora LPC Provider ID: 993221Gender: FemalePanora Z Wallace308 Airport Ln, Apt 4Cheraw, SC 29520-8564(803) 422-9095Fax: (803) 609-6777Mon - Fri 10:00 to 6:00 PCMH: No

Nurse Practitioner

Clyburn, Karen APRN Provider ID: 1273512Gender: FemaleSandhills Medical Foundation645 S Seventh StMc Bee, SC 29101(843) 335-8291Fax: (803) 408-8895Mon - Fri 8:00 to 5:00 PCMH: No

Nurse Practitioner Adult Health

Cooper, Janet APRN Provider ID: 1599178Gender: FemaleAgape Senior Primary Care Inc DBA L206 S Gum StPageland, SC 29728-2304(843) 672-5930Fax: (843) 353-2581Mon - Fri 8:00 to 5:00 PCMH: No

Knight, Sarah APRN Provider ID: 1467835Gender: FemaleCaresouth Carolina Inc.Subspecialty: HRSA FQHC715 S Doctors DrCheraw, SC 29520-7113(843) 537-0961Fax: (843) 537-0908Mon - Fri 8:00 to 5:00 PCMH: No

Nurse Practitioner Family Medicine

Bennett, Meagan APRN Provider ID: 1648859Gender: FemalePalmetto Family Medicine Of Chester316 2nd StCheraw, SC 29520-2404(843) 921-4851Fax: (843) 921-4854Mon, Wed - Thu 8:00 to 5:00 Tue 9:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Brubeck, Jessica APRN Provider ID: 1706513Gender: FemaleSandhills Medical Foundation Jeffer409 E Church StJefferson, SC 29718-8701(843) 658-3005Fax: (843) 658-7780Mon - Fri 8:00 to 5:00 PCMH: No



37719585

Allied Providers

Chesterfield

Nurse Practitioner Family Medicine -

cont.

Brubeck, Jessica APRN Provider ID: 1706523Gender: FemaleSandhills Medical Foundation Mcbee645 S Seventh StMcbee, SC 29101-7101(843) 335-8291Fax: (843) 335-8731Mon - Fri 8:00 to 5:00 PCMH: No

Nurse Practitioner Gerentology

Cooper, Janet APRN Provider ID: 1599178Gender: FemaleAgape Senior Primary Care Inc DBA L206 S Gum StPageland, SC 29728-2304(843) 672-5930Fax: (843) 353-2581Mon - Fri 8:00 to 5:00 PCMH: No

Pediatrics

Atkinson, Meredith APRN Provider ID: 1058726Gender: FemaleMcleod Pediatrics Cheraw723 S Doctors DrCheraw, SC 29520-7108(843) 537-9360Fax: (843) 537-2756Mon - Fri 8:00 to 5:00 PCMH: No

Professional Counselor

Ellison, Beatrice LPC Provider ID: 1692253Gender: FemaleIntegrated Care Services110 Duvall StCheraw, SC 29520-2406(803) 692-1383Mon - Fri 8:00 to 6:00 PCMH: No



37719585

Allied Providers

Darlington

Audiology

Kirby, Lesley AUD Provider ID: 1000556Gender: FemaleLifetime Hearing Services754 W Carolina AveHartsville, SC 29550-4412(843) 309-9230Fax: (843) 662-4327Mon - Fri 8:30 to 5:00 PCMH: No

Family Practice

Andrews, Jeri APRN Provider ID: 767916Gender: Female201 S 5th StHartsville, SC 29550-4211(843) 309-8301PCMH: No

Andrews, Jeri APRN Provider ID: 767916Gender: FemaleCaresouth Carolina IncSubspecialty: HRSA FQHC1268 S 4th St, Ste AHartsville, SC 29550-0703(843) 332-3422Fax: (843) 332-3985Mon - Fri 8:30 to 5:00 PCMH: No

Barrett, Valorie APRN Provider ID: 1257969Gender: FemalePee Dee Health Care201 Cashua StDarlington, SC 29532-3301(843) 393-7452Fax: (843) 393-6210Mon - Fri 8:00 to 5:00 PCMH: No

Brown, Levina APRN Provider ID: 987307Gender: FemaleCaresouth Carolina IncSubspecialty: HRSA FQHC737 S Main StSociety Hill, SC 29593-8972(843) 378-4501Fax: (843) 378-4209Mon - Fri 8:30 to 5:00 PCMH: No

Caldwell, Alice APRN Provider ID: 1254795Gender: FemalePee Dee Health Care301 W Main St, LamarLamar, SC 29069(843) 395-8410Fax: (843) 395-8401Mon, Wed 2:00 to 4:30 Thu - Fri 7:30 to 4:30 PCMH: No

Council, Angela APRN Provider ID: 1175267Gender: FemaleCaresouth Carolina Inc1268 S 4th StHartsville, SC 29550(843) 332-3422Fax: (843) 332-3985Carolina Pines Regional Medical CenterMon - Fri 7:30 to 6:00 PCMH: No

Crawford, Anita APRN Provider ID: 1304738Gender: FemaleHartsville Medical Associates LLC206 Swift Creek RdHartsville, SC 29550(843) 917-4117Fax: (843) 917-4590Mon - Fri 8:00 to 5:00 PCMH: No

Gainey, Shannon APRN Provider ID: 1218878Gender: FemaleHartsville Medical Group701 Medical Park Dr, Ste 305Hartsville, SC 29550-4779(843) 383-5191Fax: (843) 656-1194Mon - Fri 8:00 to 5:00 PCMH: No

Mishra, Ellen ARNP Provider ID: 995175Gender: Female201 S 5th StHartsville, SC 29550-4211(843) 309-8301PCMH: No


Andrews, Jeri APRN Provider ID: 767916Gender: FemaleCaresouth Carolina IncSubspecialty: HRSA FQHC1268 S 4th St, Ste AHartsville, SC 29550-0703(843) 332-3422Fax: (843) 332-3985Mon - Fri 8:30 to 5:00 PCMH: No

Brown, Levina APRN Provider ID: 987307Gender: FemaleCaresouth Carolina IncSubspecialty: HRSA FQHC737 S Main StSociety Hill, SC 29593-8972(843) 378-4501Fax: (843) 378-4209Mon - Fri 8:30 to 5:00 PCMH: No



37719585

Allied Providers

Darlington


cont.

Streater, Patrycia ARNP Provider ID: 768139Gender: FemaleCsc HartsvilleSubspecialty: HRSA FQHC1268 S 4th St, Ste AHartsville, SC 29550-0703(843) 332-3422Fax: (843) 332-3985Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:00 PCMH: No


Boyer, Jocelyn CSW Provider ID: 2060689Gender: FemaleCaresouth Carolina Inc.1268 S 4th StHartsville, SC 29550-0703(843) 332-3422Fax: (843) 339-5518Mon - Fri 8:30 to 5:00 PCMH: No

Kershner, Elizabeth LCSW Provider ID: 771267Gender: FemaleCsc Society Hill737 S Main StSociety Hill, SC 29593-8972(843) 378-4501Fax: (843) 378-4209Mon - Fri 8:30 to 5:00 PCMH: No

Licensed Independent Social Worker

Hood, Teresia LSW Provider ID: 1555443Gender: FemaleNo Bounds II112 Court StDarlington, SC 29532-5243(803) 327-2273Fax: (855) 345-0943Thu 10:00 to 2:00 Fri 9:00 to 12:00 PCMH: No

Hood, Teresia LSW Provider ID: 1645125Gender: FemaleEnsure Health Services LLC324 Bacote StDarlington, SC 29532-5606(704) 438-9885Fax: (855) 345-0943Mon - Wed 2:00 to 5:00 Fri 9:00 to 1:00 PCMH: No


Burgess, Bradley LPC Provider ID: 1134838Gender: MaleCaresouth Carolina Inc737 S Main StSociety Hill, SC 29593-8972(843) 378-4501Fax: (843) 378-4209Mon - Fri 8:30 to 5:00 PCMH: No

Dewitt, Melissa LPC Provider ID: 896909Gender: FemaleSerenity Counseling Place708 Pearl StreetDarlington, SC 29532(843) 393-2773Fax: (843) 628-6649PCMH: No

Gibson, Robin LPC Provider ID: 777390Gender: FemaleCaresouth Carolina1268 S 4th St, Ste AHartsville, SC 29550-0703(843) 332-3422Fax: (843) 332-3985Mon - Fri 9:00 to 5:00 PCMH: No

Graham, Rochelle LPC Provider ID: 1037203Gender: FemaleHope Counseling And Consulting Serv219 S 6th StHartsville, SC 29550(843) 992-6014Fax: (843) 332-4557Mon, Wed, Fri 10:00 to 2:00 PCMH: No

Graham, Rochelle LPC Provider ID: 1037203Gender: Female1773 Shaw DrHartsville, SC 29550-5943(843) 992-6014Fax: (843) 353-2446PCMH: No

Graham, Martha LPC Provider ID: 1557307Gender: FemalePalmetto Counseling Of Hartsville L5003 Una RdHartsville, SC 29550-1954(843) 292-9256Fax: (843) 851-4437Mon - Fri 8:30 to 5:00 PCMH: No

Kahn, David LPC Provider ID: 1586438Gender: MalePeedee Healthcare Inc.201 Cashua StDarlington, SC 29532-3301(843) 393-7452Fax: (843) 395-8435Mon - Fri 8:00 to 5:00 PCMH: No

Kelley, Jill LPC Provider ID: 1162992Gender: FemalePalmetto Counsleing Of Hartsville5003 Una RdHartsville, SC 29550(843) 307-4762Fax: (843) 857-4437Mon - Fri 8:30 to 5:00 PCMH: No



37719585

Allied Providers

Darlington

Licensed Professional Counselor -

cont.

Lynn, Deborah LPC Provider ID: 1365744Gender: FemalePalmetto Counsleing Of Hartsville L5003 Una RdHartsville, SC 29550(843) 453-9985Fax: (843) 857-4437Mon - Fri 8:30 to 5:00 PCMH: No

Lynn, Deborah LPC Provider ID: 901127Gender: FemaleEquine Intervention LLC5003 Una RdHartsville, SC 29550-1954(843) 453-9985Fax: (843) 857-4437Mon - Fri 9:00 to 5:00 PCMH: No

Pressley, Veronica LPC Provider ID: 1442691Gender: FemaleVeronica Pressley537 W Bobo Newsome HwyHartsville, SC 29550-4750(843) 309-9340Fax: (843) 309-9341Mon - Fri 8:30 to 6:00 PCMH: No

Redfearn, Teresa LPC Provider ID: 1836710Gender: FemaleChild And Family Resource Center718 S 4th StHartsville, SC 29550-5724(843) 917-0495Fax: (864) 751-4179Mon - Fri 9:00 to 5:00 PCMH: No

Serafin, Jeremy LPC Provider ID: 1324008Gender: MalePalmetto Counseling Of Hartsville5003 Una RdHartsville, SC 29550(843) 453-9985Fax: (843) 857-4437Mon - Fri 8:00 to 8:00 PCMH: No

Wallace, Panora LPC Provider ID: 993221Gender: Female576 W Carolina AveHartsville, SC 29550-5412(843) 309-9340Fax: (843) 309-9341PCMH: No

Nurse Practitioner

Andrews, Jeri CNP Provider ID: 767917Gender: Female201 S 5th StHartsville, SC 29550-4211(843) 309-8301PCMH: No

Boster, Elizabeth APRN Provider ID: 1282449Gender: FemaleCaresouth Carolina Inc.Subspecialty: HRSA FQHC1268 S 4th StHartsville, SC 29550(843) 332-3422Fax: (843) 332-3985Mon - Fri 7:30 to 6:00 Sat 9:00 to 1:00 PCMH: No

Caldwell, Alice CNP Provider ID: 768503Gender: FemalePee Dee Health Care201 Cashua StDarlington, SC 29532(843) 393-7452Fax: (843) 393-6210Mon - Fri 8:00 to 5:00 PCMH: No

Carter, Shari CNP Provider ID: 773186Gender: MaleHartsville Medical Group LLC701 Medical Park Dr, Ste 305Hartsville, SC 29550-4779(843) 878-1101Fax: (843) 383-0320Carolina Pines Regional Medical CenterMon - Fri 9:00 to 5:00 PCMH: No

Johnson, Sharon APRN Provider ID: 1605436Gender: FemaleSc House Calls Inc1131 E Home Ave, Carriage House Of HartsvilleHartsville, SC 29550-3411(843) 383-6990Fax: (843) 353-2581Mon - Fri 8:00 to 5:00 PCMH: No

Lowe, Ashley ARNP Provider ID: 767351Gender: FemaleMcleod Family Medicine Of Darlingto701 Cashua Ferry RdDarlington, SC 29532(843) 398-8500Fax: (843) 391-2026Mon - Fri 8:00 to 5:00 PCMH: No

Mishra, Ellen ARNP Provider ID: 768030Gender: Female201 S 5th StHartsville, SC 29550-4211(843) 309-8301PCMH: No



37719585

Allied Providers

Darlington


Streater, Patrycia ARNP Provider ID: 768139Gender: FemaleCsc HartsvilleSubspecialty: HRSA FQHC1268 S 4th St, Ste AHartsville, SC 29550-0703(843) 332-3422Fax: (843) 332-3985Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:00 PCMH: No

Trader, Andrea CNP Provider ID: 776992Gender: FemaleThe Medical Group701 Medical Park Dr, Ste 305Hartsville, SC 29550(843) 383-5191Fax: (843) 332-9229Mon - Fri 9:00 to 5:00 PCMH: No

Wicker, Maryum APRN Provider ID: 2047257Gender: FemaleMcleod Urgent Care Darlington964 Lochend DrDarlington, SC 29532-5698(843) 777-6890Fax: (843) 777-6891Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 8:00 PCMH: No

Wright Bruce, Barbara ARNP Provider ID: 768087Gender: FemaleCsc Sociaty HillSubspecialty: HRSA FQHC737 S Main StSociety Hill, SC 29593-8972(843) 378-4501Fax: (843) 378-4209Mon - Fri 8:30 to 5:00 PCMH: No


Alexander, Heather APRN Provider ID: 1436018Gender: FemaleCaresouth Carolina Inc.Subspecialty: HRSA FQHC1268 S 4th StHartsville, SC 29550-0703(843) 332-3422Fax: (843) 332-3985Mon - Fri 7:30 to 6:00 Sat 9:00 to 1:00 PCMH: No

Calhoun, Barbara APRN Provider ID: 1846402Gender: FemaleCaresouth Carolina IncSubspecialty: HRSA FQHC1268 S 4th StHartsville, SC 29550-0703(843) 332-3422Mon - Fri 8:30 to 5:00 PCMH: No

Conner, Shelly APRN Provider ID: 2037863Gender: FemaleCaresouth Carolina Inc.1268 S 4th StHartsville, SC 29550-0703(843) 332-3422Mon - Fri 8:30 to 5:00 PCMH: No

Fulwood, Karen APRN Provider ID: 1271387Gender: FemalePee Dee Health Care201 Cashua StDarlington, SC 29532-3301(843) 393-7452Fax: (843) 393-6210Mon - Fri 8:00 to 5:00 PCMH: No

Jones, Dana APRN Provider ID: 1798465Gender: FemaleHopehealth BetheaSubspecialty: HRSA FQHC157 Home AveDarlington, SC 29532-7625(843) 432-2960Fax: (843) 667-4133Mon - Fri 8:00 to 5:00 PCMH: No

Powell, Kimberly APRN Provider ID: 2163737Gender: FemaleHartsville Medical Associates206 Swift Creek RdHartsville, SC 29550-4383(843) 917-4117Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Simpson, Jada ARNP Provider ID: 1421880Gender: FemalePh Medical Group Midlands701 Medical Park Dr, Ste 301Hartsville, SC 29550(843) 383-5978Fax: (843) 383-5977Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Tedder, Tona APRN Provider ID: 1830900Gender: FemaleHartsville Medical Associates206 Swift Creek RdHartsville, SC 29550-4383(843) 917-4117Fax: (843) 917-4170Mon - Fri 8:00 to 5:00 Sat 9:00 to 1:00 PCMH: No



37719585

Allied Providers

Darlington


cont.

Thompson, Angel APRN Provider ID: 1475205Gender: FemaleGenesis Health Care Inc. / Peedee201 Cashua StDarlington, SC 29532(843) 393-7452Fax: (843) 393-6210Mon - Fri 8:00 to 5:00 PCMH: No

Woodward, Tracie APRN Provider ID: 1605033Gender: FemaleHometown Urgent Care LLC305 W Bobo Newsom HwyHartsville, SC 29550-4747(843) 309-3028Fax: (843) 309-3029Mon - Fri 8:00 to 8:00 Sat 8:00 to 6:00 Sun 12:00 to 6:00 PCMH: No

Nurse Practitioner Pediatric

Jackson, Haley APRN Provider ID: 1578946Gender: FemaleThe Children's Group P.c.604 N 5th StHartsville, SC 29550-3212(843) 332-6645Fax: (843) 332-9894Mon - Fri 8:30 to 5:00 Sat 9:00 to 11:00 PCMH: No

Mcleod, Casey APRN Provider ID: 2265530Gender: FemaleThe Children's Group P.c.604 N 5th StHartsville, SC 29550-3212(843) 332-6645Fax: (843) 332-9894Mon - Fri 8:30 to 5:00 Sat 9:00 to 11:00 PCMH: No

Moore, Casey APRN Provider ID: 1444002Gender: FemaleMorphis Pediatric Group Hartsville708 Medical Park DrHartsville, SC 29550-4765(843) 332-5121Fax: (843) 332-0993Mon - Thu 8:30 to 8:00 Fri 8:30 to 5:00 Sat - Sun 9:00 to 11:00 PCMH: No

Nurse Practitioner Psychiatric

Mental Health

Krozer, Steven APRN Provider ID: 1555446Gender: MaleNo Bounds II112 Court StDarlington, SC 29532(704) 258-6366Fax: (855) 345-0943Fri 10:00 to 2:00 PCMH: No


George, Linda APRN Provider ID: 817437Gender: FemaleWomens Care Of Hartsville701 Medical Park Dr, Ste 202Hartsville, SC 29550-4778(843) 339-9222Fax: (843) 656-0102Mon - Fri 8:00 to 5:00 PCMH: No

Occupational Therapy

Blackwell, Joyce OT Provider ID: 776115Gender: FemaleDevelopmental Therapy Solutions1482 Pocket RdDarlington, SC 29532(843) 616-3597Fax: (843) 393-4780Mon - Fri 8:00 to 5:00 PCMH: No

Bledsoe, Keri OT Provider ID: 770182Gender: FemaleDevelopmental Therapy Solutions1482 Pocket RdDarlington, SC 29532(843) 616-3597Fax: (843) 393-4780Mon - Fri 8:00 to 5:00 PCMH: No

Ingram, Irene OT Provider ID: 776586Gender: FemaleTherapeutic Designs And Services In603 W Carolina AveHartsville, SC 29550(843) 332-3600Fax: (843) 332-1314Mon - Thu 8:00 to 6:00 Fri 9:00 to 5:00 PCMH: No

Pediatrics

Bec, Aquilla APRN Provider ID: 959979Gender: FemaleCaresouth CarolinaSubspecialty: HRSA FQHC1268 S 4th St, Ste AHartsville, SC 29550-0703(843) 332-0118Fax: (843) 383-0385Mon - Fri 8:30 to 5:00 PCMH: No

Coward, Jacob APRN Provider ID: 768005Gender: MaleCaring Hearts Pediatrics518 E Carolina Ave, Ste BHartsville, SC 29550-4312(843) 383-4426Fax: (843) 383-8509Carolina Pines Regional Medical CenterMon - Fri 8:00 to 5:00 PCMH: No



37719585

Allied Providers

Darlington

Pediatrics - cont.

Worsham, Heather APRN Provider ID: 1023545Gender: FemaleCaresouth Carolina IncSubspecialty: HRSA FQHC1268 S 4th St, Ste AHartsville, SC 29550-0703(843) 332-0118Fax: (843) 383-0385Mon - Fri 8:30 to 5:00 PCMH: No

Physical Therapy

Shumate, Melissa PT Provider ID: 776427Gender: FemaleOmni Physical Therapy1647 Ruby RdHartsville, SC 29550(843) 332-7750Fax: (843) 332-7754Mon - Fri 8:00 to 5:00 PCMH: No

Physician Assistant

Oneal, Joseph PA Provider ID: 1302366Gender: MalePalmetto Family Medicine And Senio420 W Carolina AveHartsville, SC 29550(843) 917-4968Fax: (888) 854-0390Mon - Fri 8:00 to 5:00 PCMH: No

Snapp, Isaac PA Provider ID: 1276037Gender: MaleGenesis Healthcare Inc DBA Pee Dee201 Cashua StDarlington, SC 29532(843) 393-7452Fax: (843) 393-6210Mon - Fri 8:00 to 5:00 PCMH: No

Psychiatry

Tohid, Usman PA Provider ID: 960331Gender: MaleMcleod Medical Center Darlington701 Cashua Ferry RdDarlington, SC 29532-8488(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Speech & Language Pathology

Reames, Danielle SLP Provider ID: 2083039Gender: FemaleTherapuetic Designs Services603 W Carolina AveHartsville, SC 29550-4443(843) 332-3600Fax: (843) 332-1314Mon - Thu 8:00 to 6:00 PCMH: No



37719585

Allied Providers

Dillon

Certified Nurse Anesthetist

Torgersen, Keith CRNA Provider ID: 2296215Gender: MaleMcleod Medical Center Dillon301 East Jackson StDillon, SC 29536-2509(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Family Practice

Mishra, Ellen APRN Provider ID: 1650531Gender: FemaleCaresouth Carolina IncSubspecialty: HRSA FQHC207 E Monroe StDillon, SC 29536-2557(843) 774-4337Fax: (843) 774-4373Mon - Fri 8:30 to 5:00 PCMH: No


Causey, Sherry ARNP Provider ID: 767484Gender: FemaleCsc LakeviewSubspecialty: HRSA FQHC103 N Kemper StLake View, SC 29563(843) 759-2189Fax: (843) 759-2180Mon - Fri 8:30 to 5:00 PCMH: No

Mishra, Ellen APRN Provider ID: 1650531Gender: FemaleCaresouth Carolina IncSubspecialty: HRSA FQHC207 E Monroe StDillon, SC 29536-2557(843) 774-4337Fax: (843) 774-4373Mon - Fri 8:30 to 5:00 PCMH: No


Robinson, Allyson LCSW Provider ID: 1170492Gender: FemalePinnacle Point Supportive Services311 W Harrison StDillon, SC 29536-3311(843) 627-3308Fax: (800) 644-5523Mon - Fri 10:00 to 5:00 PCMH: No

Teague, Daloria LCSW Provider ID: 1539254Gender: FemalePinnacle Point Supportive Services311 W Harrison StDillon, SC 29536-3311(843) 627-3308Fax: (800) 644-5523Mon - Fri 10:00 to 5:00 PCMH: No


Eddins, Stefani LCSW Provider ID: 1578941Gender: FemalePinnacle Point Supportive Services311 W Harrison StDillon, SC 29536-3311(843) 627-3308Fax: (800) 644-5523Mon - Fri 10:00 to 5:00 PCMH: No

Harvey, Andre LCSW Provider ID: 1611928Gender: MalePinnacle Point Supportive Services311 W Harrison StDillon, SC 29536-3311(843) 627-3308Fax: (800) 644-5523Mon - Fri 10:00 to 5:00 PCMH: No


Fulmore, Carolyn LPC Provider ID: 1841881Gender: FemaleCaresouth Carolina Inc122 Latimer StLatta, SC 29565-1828(843) 627-6252Mon - Fri 8:30 to 5:00 PCMH: No

Nurse Practitioner

Arnette, Caren APRN Provider ID: 1814044Gender: FemaleDillon Internal Medicine Associates705 N 8th Ave, Ste 1aDillon, SC 29536-2549(843) 774-2478Fax: (843) 774-0293Mon - Thu 8:00 to 5:00 PCMH: No

Carpenter, Lindsey APRN Provider ID: 1835564Gender: FemalePinnacle Point Supportive Services311 W Harrison StDillon, SC 29536-3311(843) 627-3308Fax: (800) 644-5523Mon - Fri 10:00 to 5:00 PCMH: No

Causey, Sherry ARNP Provider ID: 767484Gender: FemaleCsc LakeviewSubspecialty: HRSA FQHC103 N Kemper StLake View, SC 29563(843) 759-2189Fax: (843) 759-2180Mon - Fri 8:30 to 5:00 PCMH: No



37719585

Allied Providers

Dillon


Bethea, Orran APRN Provider ID: 2115737Gender: FemaleDillon Family Medicine P.a.603 N 6th AveDillon, SC 29536-2503(843) 774-7336Mon - Thu 8:00 to 5:00 Fri 8:00 to 4:00 PCMH: No

Britt, Loryn APRN Provider ID: 2059921Gender: FemaleDillon Family Medicine Pa603 N 6th AveDillon, SC 29536-2503(843) 774-7336Fax: (843) 774-7565Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:30 PCMH: No

Brown, Archie APRN Provider ID: 1472547Gender: MaleCaresouth Carolina IncSubspecialty: HRSA FQHC122 Latimer StLatta, SC 29565-1828(843) 627-6252Fax: (843) 627-6271Mon - Fri 8:30 to 5:00 PCMH: No

Dietz, Teresa APRN Provider ID: 2060953Gender: FemaleDillon Family Medicine Pa603 N 6th AveDillon, SC 29536-2503(843) 777-7336Fax: (843) 774-5656Mon - Thu 8:00 to 5:00 Fri 8:00 to 4:00 PCMH: No

Lane, Kristopher APRN Provider ID: 1483637Gender: MaleCaresouth Carolina IncSubspecialty: HRSA FQHC122 Latimer StLatta, SC 29565-1828(843) 627-6252Fax: (843) 627-6271Mon - Fri 8:30 to 5:00 PCMH: No

Saxon, Angela APRN Provider ID: 1502234Gender: FemaleMcleod Pediatrics Dillon705 N 8th Ave, Ste 3aDillon, SC 29536-2549(843) 774-6091Fax: (843) 841-3814Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Sellers, Donna APRN Provider ID: 2094663Gender: FemaleDillon Family Medicine Pa603 N 6th AveDillon, SC 29536-2503(843) 774-7336Mon - Fri 8:00 to 5:00 PCMH: No

Pediatrics

Willard, Samantha APRN Provider ID: 1120529Gender: FemaleCaresouth Carolina Inc.207 E Monroe StDillon, SC 29536(843) 774-4337Fax: (843) 774-4373Mon, Wed - Fri 8:30 to 5:00 Tue 7:30 to 6:00 PCMH: No

Physical Therapy

Montes, Antonio PT Provider ID: 776970Gender: MaleDillon Physical Therapy517 Radford Blvd, Ste ADillon, SC 29536(843) 621-0121Fax: (843) 627-0122Mon - Fri 9:00 to 5:00 PCMH: No



37719585

Allied Providers

Florence

Audiology

Harris, Lu Etta AUD Provider ID: 777265Gender: FemalePee Dee Speech Hearing Center153 E N B Baroody StFlorence, SC 29506(843) 662-7802Fax: (843) 662-5601Mon - Fri 8:30 to 5:00 PCMH: No

Kirby, Lesley AUD Provider ID: 1000556Gender: FemaleLifetime Hearing Services522 W Palmetto StFlorence, SC 29501-4428(843) 662-4327Fax: (843) 662-4395Mon - Fri 8:30 to 5:00 PCMH: No


Williamson, Heather LCSW Provider ID: 1541211Gender: FemaleHeather Williamson Lisw Cp1505 W Palmetto StFlorence, SC 29501-4131(843) 409-3234Fax: (843) 580-8301Mon - Fri 4:00 to 7:30 Sat 9:00 to 4:00 PCMH: No

Cardiology

Hardee, Joseph PA Provider ID: 921408Gender: MaleMcleod Cardiology Associates101 Johns St, Ste 600Florence, SC 29506-2779(843) 667-1891Fax: (843) 665-2516Mon - Fri 8:00 to 5:00 PCMH: No

Wegmann, Jessica PA Provider ID: 953343Gender: FemaleMcleod Cardiology Associates101 Johns St, Ste 600Florence, SC 29506-2779(843) 667-1891Fax: (843) 665-2516Mon - Fri 8:00 to 5:00 PCMH: No


Babb, Susan CRNA Provider ID: 1603519Gender: FemaleFlorence Neurosurgery And Spine PC1204 E Cheves StFlorence, SC 29506-2710(843) 673-0122Fax: (843) 673-0227Mon - Fri 8:00 to 5:00 PCMH: No

Bird, Bryan CRNA Provider ID: 2211739Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Ciancione, Peter CRNA Provider ID: 1607710Gender: MaleFlorence Neurosurgery And Spine PC1204 E Cheves StFlorence, SC 29506-2710(843) 673-0122Fax: (843) 673-0227Mon - Fri 8:00 to 5:00 PCMH: No

Ciancione, Peter CRNA Provider ID: 1611446Gender: MaleCoastal Healthcare Resources Inc1807 W Evans St, Ste CFlorence, SC 29501-3374(866) 877-2762Fax: (866) 992-7144Mon - Fri 8:00 to 5:00 PCMH: No

Eastep, Alyson CRNA Provider ID: 1962716Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Jones, Karen CRNA Provider ID: 1832823Gender: FemaleMcleod Oncology And Hematology401 E Cheves St, Ste 201Florence, SC 29506-2615(843) 777-7951Fax: (843) 777-7981Mon - Fri 8:00 to 5:00 PCMH: No

Jones, Karen CRNA Provider ID: 1832823Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Jones, Trisha CRNA Provider ID: 2106358Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No



37719585

Allied Providers

Florence

Certified Nurse Anesthetist - cont.

Matthews, Kimberly CRNA Provider ID: 1607712Gender: FemaleFlorence Neurosurgery And Spine1204 E Cheves StFlorence, SC 29506-2710(843) 673-0122Fax: (843) 673-0227Mon - Fri 8:00 to 5:00 PCMH: No

Matthews, Kimberly CRNA Provider ID: 1611926Gender: FemaleCoastal Healthcare Resources Inc1807 W Evans St, Ste CFlorence, SC 29501-3374(866) 877-2762Fax: (866) 992-7144Mon - Fri 8:00 to 5:00 PCMH: No

Mitchell, Melissa CRNA Provider ID: 1607711Gender: FemaleFlorence Neurosurgery And Spine1204 E Cheves StFlorence, SC 29506-2710(843) 673-0122Fax: (843) 673-0227Mon - Fri 8:00 to 5:00 PCMH: No

Mogy, Catherine CRNA Provider ID: 1607180Gender: FemaleFlorence Neurosurgery And Spine1204 E Cheves StFlorence, SC 29506-2710(843) 673-0122Mon - Fri 8:00 to 5:00 PCMH: No

Saylor, Scott CRNA Provider ID: 1607708Gender: MaleFlorence Neurosurgery And Spine PC1204 E Cheves StFlorence, SC 29506-2710(843) 673-0122Fax: (843) 673-0227Mon - Fri 8:00 to 5:00 PCMH: No

Saylor, Scott CRNA Provider ID: 1611453Gender: MaleCoastal Healthcare Resources Inc1807 W Evans St, Ste CFlorence, SC 29501-3374(866) 877-2762Fax: (866) 992-7144Mon - Fri 8:00 to 5:00 PCMH: No

Smith, Allan CRNA Provider ID: 2315674Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Tanner, Scott CRNA Provider ID: 1602115Gender: MaleFlorence Neurosurgery And Spine1204 E Cheves StFlorence, SC 29506-2710(843) 673-0122Fax: (866) 992-7144Mon - Fri 8:00 to 5:00 PCMH: No

Thomas, Brady CRNA Provider ID: 1837375Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Torgersen, Keith CRNA Provider ID: 1607202Gender: MaleFlorence Neurosurgery And Spine1204 E Cheves StFlorence, SC 29506-2710(843) 673-0122Fax: (843) 673-0227Mon - Fri 8:00 to 5:00 PCMH: No

Tyner, Christopher CRNA Provider ID: 2313366Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Villeneuve, Emery CRNA Provider ID: 1607204Gender: MaleFlorence Neurosurgery And Spine1204 E Cheves StFlorence, SC 29506-2710(843) 673-0122Fax: (843) 673-0227Mon - Fri 8:00 to 5:00 PCMH: No



37719585

Allied Providers

Florence

Clinical Social Work

Carter, Kaycee CSW Provider ID: 1796888Gender: FemalePalmetto Family Works LLC2147 Hoffmeyer RdFlorence, SC 29501-4015(843) 661-6030Fax: (843) 679-2633Mon, Fri 4:30 to 7:30 PCMH: No

Family Practice

Collins, Diana APRN Provider ID: 1900780Gender: FemaleMusc Physicians Express Care Lake C148 Sauls St, Ste ELake City, SC 29560-2677(843) 669-9183Fax: (843) 699-9518Mon - Fri 8:00 to 5:00 PCMH: No

Ferrigno, Michelle APRN Provider ID: 1254287Gender: FemaleFerrigno Healthcare2554 W Palmetto StFlorence, SC 29501(843) 662-2110Fax: (855) 650-3714Mon - Fri 9:00 to 5:00 PCMH: No

Hill, James APRN Provider ID: 1190175Gender: MalePee Dee Cardiology Associates101 William H Johnson St, Ste 600Florence, SC 29506(843) 667-1891Fax: (843) 665-2516Mon - Fri 8:00 to 5:00 PCMH: No

Holt, Monica APRN Provider ID: 1816343Gender: FemaleEastern Carolina Pediatrics Assoc1530 Mclure CtFlorence, SC 29505-6174(843) 667-6710Fax: (843) 667-4114Mon - Fri 8:30 to 5:00 PCMH: No

Scott, Sonja ARNP Provider ID: 1207986Gender: FemaleHopehealth IncSubspecialty: HRSA FQHC360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Fri 7:30 to 8:00 PCMH: No

Speaks, Dominique ARNP Provider ID: 1199070Gender: FemaleHopehealth IncSubspecialty: HRSA FQHC360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Fri 8:00 to 8:00 PCMH: No

Sved, Amy APRN Provider ID: 928369Gender: FemaleMusc Physicians Primary Care Hoffme1925 Hoffmeyer RdFlorence, SC 29501(843) 679-4214Fax: (843) 679-4217Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No


Barrett, Alan PA Provider ID: 902618Gender: MaleHopehealth IrbySubspecialty: HRSA FQHC360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00 PCMH: No

Bennett, Meagan ARNP Provider ID: 1977571Gender: FemaleHopehealth FmuSubspecialty: HRSA FQHC121 S Evander DrFlorence, SC 29506-4212(843) 661-1848Fax: (843) 661-1818Mon - Tue, Thu - Fri 8:30 to 5:00 PCMH: No

Harris, Sarah APRN Provider ID: 1842374Gender: FemaleHealth Care Partners Of South Carol123 E Broadway StJohnsonville, SC 29555-4252(843) 248-4700Mon - Fri 8:00 to 5:00 PCMH: No

Internal Medicine

Licari, Nicholas APRN Provider ID: 1216264Gender: MaleHopehealth IncSubspecialty: HRSA FQHC360 N Irby StFlorence, SC 29501-2808(843) 432-3714Fax: (843) 656-8865Mon - Sat 8:00 to 8:00 PCMH: No



37719585

Allied Providers

Florence


Matthews, Debbie ARNP Provider ID: 1205874Gender: FemaleHopehealth IncSubspecialty: HRSA FQHC360 N Irby StFlorence, SC 29501-2808(843) 432-6669Fax: (843) 667-1362Mon - Fri 8:00 to 8:00 PCMH: No

Poston, Michelle APRN Provider ID: 1199068Gender: FemaleHopehealth IncSubspecialty: HRSA FQHC360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-8863Mon - Fri 7:30 to 8:00 PCMH: No

Proffer, Katherine ARNP Provider ID: 1195998Gender: FemaleHopehealthSubspecialty: HRSA FQHC360 N Irby St, Ste AFlorence, SC 29501-2808(843) 432-3665Fax: (843) 656-8863Mon - Fri 7:30 to 8:00 PCMH: No


Black, Sharon CSW Provider ID: 2315704Gender: FemaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00 PCMH: No

Blackmon, Tomekia LCSW Provider ID: 1420801Gender: FemalePrecision Behavioral And Medical Gr181 East Evans St, Ste 314Florence, SC 29506(843) 407-5959Fax: (844) 270-0703Mon - Fri 9:00 to 6:00 PCMH: No

Brady, Melissa CSW Provider ID: 2317676Gender: FemaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00 PCMH: No

Oeffinger, Rebecca CSW

Provider ID: 2167350Gender: FemaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00 PCMH: No

Sanders, Lecole LCSW Provider ID: 1162283Gender: FemaleSanders Family Counseling LLC1803 Cherokee RdFlorence, SC 29501(843) 661-6030Fax: (843) 679-2633Mon 2:00 to 6:30 Tue, Thu 9:00 to 6:00 Wed 10:30 to 6:30 Sat 9:00 to 3:00 PCMH: No

Smalls, Chatonia CSW Provider ID: 2317842Gender: FemaleHopehealth Inc600 E Palmetto StFlorence, SC 29506-2851(843) 667-9414Fax: (843) 667-1362Mon - Fri 7:30 to 5:00 PCMH: No

Wilson, Toni Marie CSW Provider ID: 1857104Gender: FemaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00 PCMH: No


Graves, Antonia LSW Provider ID: 1516116Gender: FemaleHopehealth Irby360 N Irby StFlorence, SC 29501(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00 PCMH: No

Peterkin, Vicky LCSW Provider ID: 1558413Gender: FemaleSanders Family Counseling LLC1803 Cherokee RdFlorence, SC 29501(843) 661-6030Fax: (843) 679-2633Mon - Fri 8:00 to 5:00 PCMH: No



37719585

Allied Providers

Florence

Licensed Mental Health Counselor

Malvarosa, Paul LPC Provider ID: 1522089Gender: MaleWellspring Psychology Group LLC1340 Celebration Blvd, Unit AFlorence, SC 29501-5585(843) 536-1180Fax: (843) 536-1116Mon 9:00 to 7:00 Tue - Thu 8:00 to 7:00 Fri 8:00 to 5:00 PCMH: No


Bakas, Efstasia LPC Provider ID: 1441385Gender: FemaleStewart Behavioral Health525 S Dargan StFlorence, SC 29506(843) 407-5419Fax: (843) 407-7274Mon - Thu 9:00 to 7:00 Fri 3:00 to 7:00 PCMH: No

Carter, Krystal LPC Provider ID: 1107682Gender: Female181 E Evans St, Ste 316Florence, SC 29506-5505(843) 605-5228Fax: (803) 474-8342PCMH: No

Casley, Denise LPC Provider ID: 1050614Gender: FemaleDenise F Casley Lpc1358 S Irby St, Ste CFlorence, SC 29501-2636(843) 610-8674Fax: (846) 679-5550Mon - Fri 9:00 to 5:00 PCMH: No

Daniels, Prezillic LPC Provider ID: 1605092Gender: FemaleCare House Of The Pee Dee360 N Irby StFlorence, SC 29501(843) 629-0236Fax: (843) 673-9223Mon - Fri 8:00 to 5:00 PCMH: No

Daniels, Prezillic LPC Provider ID: 912444Gender: FemaleDaniels Discovery Dynamics1803 Cherokee RdFlorence, SC 29501-4184(843) 661-6030Fax: (843) 679-2633Mon, Wed 2:00 to 6:00 Fri 9:00 to 5:00 PCMH: No

Dennis, Brandi LPC Provider ID: 2104363Gender: FemaleCarolina Pediatric Counseling2011 2nd Loop Rd, Ste AFlorence, SC 29501-6187(843) 468-1850Fax: (843) 407-4265Mon - Sat 8:00 to 6:00 PCMH: No

Durant, Kelvin LPC Provider ID: 1439020Gender: MaleStewart Behavioral Health525 S Dargan StFlorence, SC 29506(843) 407-5419Fax: (843) 407-7274Mon - Fri 9:00 to 6:00 PCMH: No

Elkins, Jennifer LPC Provider ID: 1342173Gender: FemalePalmetto Family Works LLC1803 Cherokee RdFlorence, SC 29501(843) 661-6030Fax: (843) 679-2633Mon - Tue 9:00 to 7:00 Wed 9:00 to 8:00 Thu - Fri 9:00 to 5:30 Sat 9:00 to 3:00 PCMH: No

Fulcher, Rosanne LPC Provider ID: 1074082Gender: FemaleWellspring Psychology Group1340 Celebration Blvd, Unit AFlorence, SC 29501-5585(843) 536-1180Fax: (843) 536-1116Mon - Thu 8:00 to 7:00 Fri 8:00 to 5:00 PCMH: No

Fuller, Clara LPC Provider ID: 908928Gender: FemaleFuller Life Strategies LLC1803 Cherokee RdFlorence, SC 29501-4184(843) 661-6030Fax: (843) 679-2633Mon, Wed 8:30 to 8:00 Tue, Thu 8:30 to 5:00 Sat 8:30 to 3:00 PCMH: No

Gamble, Natalie LPC Provider ID: 1714266Gender: FemaleHopehealth Inc600 E Palmetto StFlorence, SC 29506-2851(843) 667-9414Fax: (843) 667-1362Mon - Fri 7:30 to 5:00 PCMH: No



37719585

Allied Providers

Florence


cont.

Gonzales Acevado, Camille LPC Provider ID: 1591724Gender: FemaleWellspring Psychology Group LLC1340 Celebration BlvdFlorence, SC 29501(843) 536-1180Fax: (843) 536-1116Mon 9:00 to 7:00 Tue - Thu 8:00 to 7:00 Fri 8:00 to 5:00 PCMH: No

Goodwin, Misty LPC Provider ID: 1025668Gender: FemaleCarolina Pediatric Counseling2011 2nd Loop Rd, Ste AFlorence, SC 29501-6187(843) 468-1850Fax: (843) 407-4265Mon 9:00 to 4:00 Wed, Fri 10:00 to 4:00 PCMH: No

Graham, Carrie LPC Provider ID: 1557309Gender: FemaleCw Counseling Consulting Group LLC1800 2nd Loop Rd, Ste 3Florence, SC 29501-6180(843) 667-1905Mon - Wed 8:30 to 6:00 Thu - Fri 8:30 to 4:00 PCMH: No

Jefferson, Samantha LPC Provider ID: 1853452Gender: FemaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Mon - Sat 8:00 to 8:00 PCMH: No

Kahn, David LCSW Provider ID: 837561Gender: MaleThe Counseling Center Of Florence616 S Coit StFlorence, SC 29501-5223(843) 673-0054Fax: (843) 667-1549Mon - Thu 7:30 to 8:00 PCMH: No

Knight, Aimee LPC Provider ID: 1523826Gender: FemaleSolid Rock Family Counseling Servic181 E Evans St Btc-122, Ste 316Florence, SC 29506(843) 617-4676Mon - Fri 9:00 to 7:00 Sat 9:00 to 12:00 PCMH: No

Langley, Laura LPC Provider ID: 818271Gender: FemaleThe Counseling Center Of Florence616 S Coit StFlorence, SC 29501-5223(843) 673-0054Fax: (843) 667-1549Mon - Thu 7:30 to 8:00 PCMH: No

Lobo, Vanessa LPC Provider ID: 1792799Gender: FemaleWellspring Psychology Group LLC1340 Celebration BlvdFlorence, SC 29501-5585(843) 536-1180Fax: (843) 536-1116Mon 9:00 to 7:00 Tue - Thu 8:00 to 7:00 Fri 8:00 to 5:00 PCMH: No

Lownsberry, Erick LPC Provider ID: 2176651Gender: MaleThe Counseling Center Of Florence616 S Coit StFlorence, SC 29501(843) 673-0054Fax: (843) 667-1549Mon - Thu 7:30 to 7:30 PCMH: No

Macaluso, Sherry LPC Provider ID: 1963255Gender: FemaleCarolina Pediatric Counseling2011 2nd Loop Rd, Ste AFlorence, SC 29501-6187(843) 468-1850Fax: (843) 407-4265Mon - Sat 8:30 to 6:00 PCMH: No

Martin, John LPC Provider ID: 1242528Gender: MaleJ G Enterprises LLC616 S Coit StFlorence, SC 29501(843) 673-0054Fax: (843) 667-1549Mon - Thu 7:30 to 8:30 PCMH: No

Mazgaj, Jamie LPC Provider ID: 966686Gender: FemaleJamie Mazgaj1801 W Evans St, Ste 105Florence, SC 29501-3376(843) 661-1010Fax: (877) 333-0211Mon - Fri 4:00 to 8:00 PCMH: No



37719585

Allied Providers

Florence


cont.

Mcclam, Andrea LPC Provider ID: 1185330Gender: FemaleHigher Ground Christian Counseling221 Big Swamp RdPamplico, SC 29583(843) 687-8754Fax: (843) 799-1367Tue, Thu - Fri 8:00 to 6:00 Wed 12:00 to 5:00 PCMH: No

Mcdaniel, Anita LPC Provider ID: 1202009Gender: FemaleWellspring Psychology Group1340 Celebration Blvd, Unit AFlorence, SC 29501(843) 536-1180Fax: (843) 536-1116Mon 9:00 to 7:00 Tue - Thu 8:00 to 7:00 Fri 8:00 to 5:00 PCMH: No

Mcdaniel, Anita LPC Provider ID: 2165298Gender: FemaleCast Counseling LLC2137 Hoffmeyer Rd, Ste EFlorence, SC 29501-4088(843) 306-2275Fax: (843) 627-2440Mon - Fri 8:00 to 5:00 PCMH: No

Mcknight, Deloris LPC Provider ID: 1049910Gender: FemalePositive Solutions Counseli Ng Serv181 E Evans StFlorence, SC 29506-5503(843) 676-9400Fax: (843) 664-2803Mon - Fri 9:00 to 5:00 PCMH: No

Muldrow, Javonnia LPC Provider ID: 1420298Gender: FemalePrecision Behavioral And Medical Gr181 East Evans St, Ste 314Florence, SC 29506(843) 407-5959Fax: (844) 270-0703Mon - Fri 9:00 to 6:00 Sat AP:PT to ON:LY PCMH: No

Munson Matthew, Megan LPC

Provider ID: 1326349Gender: FemaleCare House Of The Pee Dee360 N Irby StFlorence, SC 29501(843) 629-0236Fax: (843) 973-6223Mon - Fri 8:30 to 5:00 PCMH: No

Nance, Clyde LPC Provider ID: 2261245Gender: MaleCounseling Center Of Florence LLC616 S Coit StFlorence, SC 29501-5223(843) 673-0054Fax: (843) 667-1549Mon - Thu 7:30 to 7:30 PCMH: No

Oquinn, Georgann LPC Provider ID: 913563Gender: Female360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Fri 8:00 to 5:00 PCMH: No

Oquinn, Georgann LPC Provider ID: 913563Gender: FemaleHopehealth600 E Palmetto StFlorence, SC 29506-2851Mon - Fri 8:00 to 5:00 PCMH: No

Rintelman, Michael LPC Provider ID: 1567365Gender: MaleWellspring Psychology Group LLC1340 Celebration Blvd, Unit AFlorence, SC 29501(843) 536-1180Fax: (843) 536-1116Mon 9:00 to 7:00 Tue - Thu 8:00 to 7:00 Fri 8:00 to 5:00 PCMH: No

Rogers, Mary LPC Provider ID: 1165268Gender: FemaleWellspring Psychology Group1340 Celebration BlvdFlorence, SC 29501(843) 536-1180Fax: (843) 536-1116Mon 9:00 to 7:00 Tue - Thu 8:00 to 7:00 Fri 8:00 to 5:00 PCMH: No

Rush, Amy LPC Provider ID: 1518793Gender: FemalePalmetto Family Works1803 Cherokee RdFlorence, SC 29501(843) 661-6030Fax: (843) 679-2633Mon - Thu 8:00 to 8:00 Fri 8:00 to 5:00 PCMH: No

Simon-Mcqueen, Ryedenna LMHC

Provider ID: 1022391Gender: FemaleSimon Counseling And Consultin1803 Cherokee RdFlorence, SC 29501-4184(843) 661-6030Fax: (843) 679-2633Tue 8:00 to 8:30 Fri 7:30 to 6:30 Sat 8:30 to 12:00 PCMH: No



37719585

Allied Providers

Florence


cont.

Stewart, Martha LPC Provider ID: 1607709Gender: FemaleHigher Ground Christian Counseling2143 Hoffmeyer Rd, Ste BFlorence, SC 29501-4078(843) 687-8754Fax: (843) 799-1367Mon - Fri 9:00 to 5:00 PCMH: No

Stewart, Martha LPC Provider ID: 952975Gender: FemaleStewart Behavioral Health525 S Dargan StFlorence, SC 29506-2549(843) 407-5419Fax: (843) 407-7274Mon - Thu 8:00 to 7:00 Fri 8:00 to 5:00 Sat 10:00 to 12:00 PCMH: No

Temple, Megan LPC Provider ID: 1326350Gender: FemaleCare House Of The Pee Dee360 N Irby StFlorence, SC 29501(843) 629-0236Fax: (843) 673-9223Mon - Fri 8:00 to 5:00 PCMH: No

Townsend, Anna LPC Provider ID: 1519481Gender: FemaleFuller Life Strategies LLC1803 Cherokee RdFlorence, SC 29501(843) 661-6030Mon - Fri 8:00 to 8:00 Sat 8:00 to 1:00 PCMH: No

Townsend, Anna LPC Provider ID: 1523422Gender: FemalePalmetto Family Works LLC1803 Cherokee RdFlorence, SC 29501-4184(843) 661-6030Fax: (843) 679-2633Mon - Fri 9:00 to 5:00 PCMH: No

Tyner, Faith LPC Provider ID: 1188309Gender: FemaleWellspring Psychology Group1340 Celebration Blvd, Unit AFlorence, SC 29501(843) 536-1180Fax: (843) 536-1116Mon - Tue, Fri 8:00 to 5:00 Wed 8:00 to 7:00 PCMH: No

Tyner, Faith LPC Provider ID: 1188309Gender: FemaleWellspring Psychology Group1340 Celebration Blvd, Unit CFlorence, SC 29501(843) 536-1180Fax: (843) 536-1116Mon - Tue, Fri 8:00 to 5:00 Wed 8:00 to 7:00 PCMH: No

Underwood, Timothy LPC Provider ID: 1021934Gender: MaleTimothy Underwood3750 Sheminally RdPamplico, SC 29583-5700(843) 488-1894Fax: (843) 491-4023Mon - Fri 8:00 to 5:00 PCMH: No

Wallace, Donya LPC Provider ID: 773971Gender: FemaleWallace Donya D263 Kelley StLake City, SC 29560(843) 394-8274Fax: (843) 394-1604Mon, Wed 9:00 to 6:00 Tue, Thu - Fri 9:00 to 5:00 PCMH: No

Wells, Terrance LPC Provider ID: 1255191Gender: MaleFamily Support Services LLC652 N Matthews RdLake City, SC 29560(803) 744-6171Fax: (877) 590-0231Mon - Fri 9:00 to 5:00 PCMH: No

Whitman, Gretchen LPC Provider ID: 2104444Gender: FemaleCarolina Pediatric Counseling2011 2nd Loop Rd, Ste AFlorence, SC 29501-6187(843) 468-1850Fax: (843) 407-4265Mon, Wed - Sat 8:00 to 6:00 Tue 8:00 to 8:00 PCMH: No

Wilcox, Scott LPC Provider ID: 1428135Gender: MaleSanders Family Counseling LLC2147 Hoffmeyer RdFlorence, SC 29501(843) 661-6030Fax: (843) 679-2633PCMH: No

Wilcox, Scott LPC Provider ID: 1523383Gender: Male2147 Hoffmeyer RdFlorence, SC 29501(843) 661-6030Fax: (843) 661-6030PCMH: No



37719585

Allied Providers

Florence


cont.

Williams, Misty LPC Provider ID: 1801196Gender: FemalePalmetto Family Works LLC2147 Hoffmeyer RdFlorence, SC 29501-4015(843) 661-6030Fax: (843) 661-6030Mon - Fri 8:00 to 8:00 PCMH: No

Licensed Social Worker

Wright, Carol LSW Provider ID: 1074289Gender: FemaleCw Counseling Consulting Group LLC1800 2nd Loop Rd, Ste 3Florence, SC 29501-6180(843) 667-1905Mon - Wed 8:30 to 6:00 Thu 8:30 to 4:00 Fri 8:30 to 4:0 PCMH: No

Wright, Carol LSW Provider ID: 1074289Gender: FemaleCw Counseling And Consulting LLC123 Kelly StKingstree, SC 29560-3428(843) 667-1905Fax: (843) 667-1723Wed 9:00 to 6:30 PCMH: No

Nurse Practitioner

Banner, Meredith CNP Provider ID: 770349Gender: FemaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 662-5233Fax: (843) 432-1930Mon - Fri 8:00 to 5:00 PCMH: No

Bennett, Meagan ARNP Provider ID: 1977571Gender: FemaleHopehealth FmuSubspecialty: HRSA FQHC121 S Evander DrFlorence, SC 29506-4212(843) 661-1848Fax: (843) 661-1818Mon - Tue, Thu - Fri 8:30 to 5:00 PCMH: No

Bryant, Stacie ARNP Provider ID: 1899288Gender: FemaleHealogics Specialty Physicians Of S1580 Freedom Blvd, Ste 106Florence, SC 29505-6074(843) 674-4570Fax: (904) 446-3032Mon - Fri 8:00 to 5:00 PCMH: No

Chinich, Caren CNP Provider ID: 1360832Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5753Fax: (843) 777-5035Mon - Sun 12:00 to 12:00 PCMH: No

Coleman, Megan APRN Provider ID: 2200685Gender: FemaleMcleod Cardiology Assoc101 William H Johnson St, Ste 600Florence, SC 29506-2773(843) 667-1891Fax: (843) 665-2516Mon - Fri 8:00 to 5:00 PCMH: No

Elder, Sherry APRN Provider ID: 1257007Gender: FemaleSc House Calls Inc3006 Hoffmeyer RdFlorence, SC 29501-7551(843) 292-0012Mon - Fri 9:00 to 5:00 PCMH: No

Felder, Melissa APRN Provider ID: 1818791Gender: FemaleHopehealth Inc600 E Palmetto StFlorence, SC 29506-2851(843) 667-9414Fax: (843) 667-1362Mon - Fri 7:30 to 5:00 PCMH: No

Ferguson, Stephanie APRN

Provider ID: 1866642Gender: FemaleHopehealth IncSubspecialty: HRSA FQHC600 E Palmetto StFlorence, SC 29506-2851(843) 667-9414Fax: (843) 667-1362Mon - Fri 7:30 to 5:00 PCMH: No

Fisher, Sierra APRN Provider ID: 1736990Gender: FemaleMcleod Cardiology Associates101 Johns St, Ste 600Florence, SC 29506(843) 667-1891Mon - Fri 8:00 to 5:00 PCMH: No

Gage, Julie CNP Provider ID: 913674Gender: FemaleHopehealth IrbySubspecialty: HRSA FQHC360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00 PCMH: No



37719585

Allied Providers

Florence


Garris, Theressa ARNP Provider ID: 766863Gender: FemalePediatric Associates Of Florence204 E Cheves StFlorence, SC 29506(843) 777-5765Fax: (843) 662-2474Mon, Wed - Thu 8:00 to 3:30 Tue, Fri 9:00 to 5:00 PCMH: No

Gude, Adam CNP Provider ID: 1360833Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-2000Fax: (843) 777-5035Mon - Sun 12:00 to 12:00 PCMH: No

Hamer, Melissa APRN Provider ID: 1836601Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Harrell, Ashley APRN Provider ID: 1432737Gender: FemaleMcleod Digestive Health Center401 E Cheves St, Ste 301Florence, SC 29506-2615(843) 777-7166Fax: (843) 777-7167Mon - Fri 8:00 to 5:00 PCMH: No

Harris, Sarah APRN Provider ID: 1842374Gender: FemaleHealth Care Partners Of South Carol123 E Broadway StJohnsonville, SC 29555-4252(843) 248-4700Mon - Fri 8:00 to 5:00 PCMH: No

Hopla, Deborah CNP Provider ID: 902603Gender: FemaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00 PCMH: No

Hucks, Julia APRN Provider ID: 2038332Gender: FemaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00 PCMH: No

Johnson, Bonita APRN Provider ID: 913981Gender: FemaleHopehealth IncSubspecialty: HRSA FQHC241 Kelley StLake City, SC 29560-2446(843) 394-1051Fax: (843) 394-0277Mon - Thu 8:30 to 5:00 Fri 8:30 to 1:00 PCMH: No

Lynam, Brett APRN Provider ID: 2061277Gender: FemaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00 PCMH: No

Mcfadden, Sherrlyn APRN Provider ID: 1246652Gender: FemaleGenesis Healthcare Inc. DBA Olanta211 S Jones RdOlanta, SC 29114-9705(843) 396-9730Fax: (843) 396-9735Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Miller, Michelle APRN Provider ID: 1959792Gender: FemaleMcleod Urology Associates800 E Cheves St, Ste 350Florence, SC 29506-2649(843) 777-7555Fax: (843) 777-7563Mon - Fri 8:00 to 5:00 PCMH: No

Mitchell, Mary CNP Provider ID: 767423Gender: FemaleHopehealth IrbySubspecialty: HRSA FQHC360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00 PCMH: No



37719585

Allied Providers

Florence


Polsky, Roger APRN Provider ID: 1211991Gender: MaleMusc Physicians Gastroenterology Fl805 Pamplico Hwy, Ste A-220Florence, SC 29505(843) 674-1530Fax: (843) 673-9098Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Potter-Hare, Brandi APRN

Provider ID: 2325516Gender: FemaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00 PCMH: No

Pritchard, Pamela APRN Provider ID: 1838420Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Rogers, Katelyn APRN Provider ID: 2201356Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-5246Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Russ, Brandi ARNP Provider ID: 2237579Gender: FemaleMcleod Family Practice Timmons-ville755 E Smith StTimmonsville, SC 29161-9430(843) 346-3900Fax: (843) 346-7839Mon - Fri 8:00 to 5:00 PCMH: No

Samuel, Laura APRN Provider ID: 2225561Gender: FemaleHopehealth Timmonsville210 E Market StTimmonsville, SC 29161-1812(843) 346-3730Fax: (843) 346-7687Mon - Fri 8:00 to 5:00 PCMH: No

Samuel, Laura APRN Provider ID: 2225563Gender: FemaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00 PCMH: No

Stanley, Regina APRN Provider ID: 2324396Gender: FemaleHopehealth Fmu121 S Evander DrFlorence, SC 29506-4212(843) 661-1848Fax: (843) 661-1818Mon - Tue, Thu - Fri 8:30 to 5:00 PCMH: No

Stephen, Natasha CNP Provider ID: 1360835Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-3717Fax: (843) 777-5035Mon - Sun 12:00 to 12:00 PCMH: No

Thompson, Taylor APRN Provider ID: 2227306Gender: FemaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00 PCMH: No

Thompson, Taylor APRN

Provider ID: 2227315Gender: FemaleHopehealth Timmonsville210 E Market StTimmonsville, SC 29161-1812(843) 346-3730Fax: (843) 346-7687Mon - Fri 8:00 to 5:00 PCMH: No

Walters, Sharon APRN Provider ID: 2341098Gender: FemaleHopehealth Fmu121 S Evander DrFlorence, SC 29506-4212(843) 661-1848Fax: (843) 661-1818Mon - Tue, Thu - Fri 8:30 to 5:00 PCMH: No



37719585

Allied Providers

Florence


Wicker, Maryum APRN Provider ID: 2047257Gender: FemaleMcleod Urgent Care Center3015 W Palmetto StFlorence, SC 29501-5935(843) 777-6890Fax: (843) 777-6871Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 8:00 PCMH: No

Williams, Jaymas CNP Provider ID: 768242Gender: FemaleHopehealthSubspecialty: HRSA FQHC210 E Market StTimmonsville, SC 29161(843) 346-3730Fax: (843) 346-7687Mon - Fri 8:00 to 5:00 PCMH: No

Woodberry, Elizabeth APRN

Provider ID: 959240Gender: FemaleMpa Pediatric Endocrinology101 Johns St, Ste 400Florence, SC 29506-2635(843) 777-7300Fax: (843) 777-7320Mon - Fri 8:00 to 5:00 PCMH: No

Nurse Practitioner Acute Care

Robinson, Tricia APRN Provider ID: 1574015Gender: FemaleMusc Physicians Urology Florence Me805 Pamplico Hwy, Ste B310Florence, SC 29505-6068(843) 673-7525Fax: (843) 673-7528Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No


Brown, Angel APRN Provider ID: 2068674Gender: FemaleMcleod Urgent Care Center3015 W Palmetto StFlorence, SC 29501-5935(843) 777-6890Fax: (843) 777-6871Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 4:00 PCMH: No

Curl, Anita APRN Provider ID: 2196410Gender: FemaleMcleod Primary Care Partners800 E Cheves St, Ste 240Florence, SC 29506-2651(843) 777-9450Fax: (843) 678-3624Mon - Fri 8:00 to 5:00 PCMH: No

Freeman, Deana APRN Provider ID: 1343332Gender: FemaleHopehealth IrbySubspecialty: HRSA FQHC360 N Irby StFlorence, SC 29501(843) 432-3714Fax: (843) 656-8865Mon - Sat 8:00 to 8:00 PCMH: No

Fulwood, Karen APRN Provider ID: 1271382Gender: FemaleOlanta Family Care211 S Jones RdOlanta, SC 29114-9705(843) 396-9730Fax: (843) 396-9735Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No

Gainey, Cynthia APRN Provider ID: 2015693Gender: FemaleDoctors Care Hoffmeyer Road2410 Hoffmeyer RdFlorence, SC 29501-7311(843) 662-8182Fax: (843) 662-8183Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 5:00 PCMH: No

Godwin, Ashton APRN Provider ID: 2276080Gender: FemalePee Dee Surgical Group800 E Cheves St, Ste 260Florence, SC 29506-2652(843) 665-7941Fax: (843) 665-1257Mon - Fri 8:00 to 5:00 PCMH: No

Godwin, Ashton APRN Provider ID: 2276080Gender: FemaleMcleod Urology Associates800 E Cheves St, Ste 350Florence, SC 29506-2649(843) 777-7555Fax: (843) 777-7563Mon - Fri 8:00 to 5:00 PCMH: No

Graham, Almeda APRN Provider ID: 1870553Gender: FemaleHealthy Living Wellness And Healthc105 S Franklin DrFlorence, SC 29501-4364(843) 475-2523Fax: (843) 492-7418Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No



37719585

Allied Providers

Florence


cont.

Hardee, Chelsea APRN Provider ID: 2176177Gender: FemalePee Dee Surgical Group800 E Cheves St, Ste 260Florence, SC 29506-2652(843) 665-7941Fax: (843) 665-1257Mon - Fri 8:00 to 5:00 PCMH: No

Hewitt, Carolina APRN Provider ID: 2138068Gender: FemaleMcleod Pulmonary & Critical Care As401 E Cheves St, Ste 202Florence, SC 29506-2615(843) 777-7863Mon - Fri 8:00 to 5:00 PCMH: No

Johnson, Denise APRN Provider ID: 2155961Gender: FemaleMcleod Cardiology Assoc101 William H Johnson St, Ste 600Florence, SC 29506-2773(843) 667-1891Fax: (843) 665-2516Mon - Fri 8:00 to 5:00 PCMH: No

Kirven, Lauren APRN Provider ID: 2180773Gender: FemaleMcleod Cardiology Associates101 William H Johnson St, Ste 600Florence, SC 29506-2773(843) 667-1891Fax: (843) 665-2516Mon - Fri 8:00 to 5:00 PCMH: No

Lawrimore, Cynthia APRN Provider ID: 1297708Gender: FemaleMusc Physicians Primary Care Pampli953 S Pamplico HwyPamplico, SC 29583(843) 493-5252Fax: (843) 493-2372Musc Health Florence Medical CenterMon, Wed - Thu 8:00 to 5:00 Tue 8:00 to 7:00 Fri 8:00 to 12:00 PCMH: No

Mcdougal, Patrick ARNP Provider ID: 2176183Gender: MalePee Dee Surgical Group800 E Cheves St, Ste 260Florence, SC 29506-2652(843) 665-7941Fax: (843) 665-1257Mon - Fri 8:00 to 5:00 PCMH: No

Osorio, Jolene APRN Provider ID: 1273480Gender: FemaleOlanta Family Care211 S Jones RdOlanta, SC 29114-9705(843) 396-9730Fax: (843) 396-9735Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Peters, Jon APRN Provider ID: 1445495Gender: MaleMusc Physicians Express Care Floren148 Sauls St, Ste CLake City, SC 29560-2677(843) 699-9183Fax: (843) 699-9518Musc Health Florence Medical CenterMon - Fri 2:00 to 10:00 Sat 9:00 to 6:00 PCMH: No

Peters, Jon APRN Provider ID: 1445495Gender: MaleMusc Physicians Express Care Floren1925 Hoffmeyer RdFlorence, SC 29501(843) 413-6925Musc Health Florence Medical CenterMon - Fri 2:00 to 10:00 Sat 9:00 to 6:00 PCMH: No

Poulton, Krista APRN Provider ID: 1539791Gender: FemaleOhio Valley Physicians Inc238 S Coit StFlorence, SC 29501-4422(843) 665-9349Fax: (304) 429-3109Mon - Fri 8:30 to 4:30 PCMH: No

Ralley, Tasha APRN Provider ID: 1594255Gender: FemaleMcleod Cardiothoracic Surgical Asso101 S Ravenel St, Ste 270Florence, SC 29506(843) 777-7020Fax: (843) 664-9545Mon - Fri 8:30 to 5:00 PCMH: No

Saxon, Angela APRN Provider ID: 1502233Gender: FemaleMcleod Family Medicine Johnson-ville355 S Georgetown HwyJohnsonville, SC 29555-8083(843) 380-2000Fax: (843) 380-2014Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No



37719585

Allied Providers

Florence


cont.

Slice, Allison CNP Provider ID: 775955Gender: FemaleJeter Skinner Family Practice101 S Ravenel St, Ste 160Florence, SC 29506-2622(843) 662-1533Fax: (843) 679-7273Mon - Fri 9:00 to 5:00 PCMH: No

Smith, Machelle APRN Provider ID: 1577722Gender: FemaleMcleod Urology Associates800 E Cheves St, Ste 350Florence, SC 29506-2649(843) 665-2000Fax: (843) 669-1701Mon - Fri 8:00 to 5:00 PCMH: No

Smith, Morgan APRN Provider ID: 2141439Gender: FemaleDoctors Care South Irby2200 S Irby StFlorence, SC 29505(843) 662-9945Fax: (843) 662-9946Mon - Fri 8:00 to 8:00 PCMH: No

Timmons, Brittany APRN Provider ID: 1334917Gender: FemaleHopehealth Irby360 N Irby StFlorence, SC 29501(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00 PCMH: No

Timmons, Lindsey APRN Provider ID: 2180740Gender: FemalePee Dee Surgical Group800 E Cheves St, Ste 260Florence, SC 29506-2652(843) 665-7941Fax: (843) 665-1257Mon - Fri 8:00 to 5:00 PCMH: No

Wallace, Lisa APRN Provider ID: 1560685Gender: FemaleMcleod Family Medicine Health Fitn2437 Willwood DrFlorence, SC 29501-3904(843) 777-3100Fax: (843) 777-3111Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Wallace, Lisa APRN Provider ID: 2196430Gender: FemaleMcleod Primary Care Partners800 East Cheves Street, Suite 240Florence, SC 29506-2652(843) 777-9450Fax: (843) 678-3624PCMH: No

Wallace, Sara APRN Provider ID: 2341066Gender: FemaleHopehealth Inc600 E Palmetto StFlorence, SC 29506-2851(843) 667-9414Fax: (843) 667-1362Mon - Fri 7:30 to 5:00 PCMH: No

Weaver, Timothy APRN Provider ID: 1856318Gender: MaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00 PCMH: No

Wiggins, Christi APRN Provider ID: 1829393Gender: FemaleMcleod Cardiology Associates101 William H Johnson St, Ste 600Florence, SC 29506-2773(843) 667-1891Fax: (843) 665-2516Mon - Fri 8:00 to 5:00 PCMH: No


Kasitz, Jesse APRN Provider ID: 2138175Gender: MalePee Dee Surgical Group800 E Cheves St, Ste 260Florence, SC 29506-2652(843) 665-7941Fax: (843) 665-1257Mon - Fri 8:00 to 5:00 PCMH: No

Kight, Paige APRN Provider ID: 1784744Gender: FemaleCarolinas Medical Allicance Inc148 Sauls St, Ste ELake City, SC 29560-2677(843) 699-9183Fax: (843) 699-9516Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Kight, Paige APRN Provider ID: 1784744Gender: FemaleCarolinas Medical Allicance Inc1925 Hoffmeyer RdFlorence, SC 29501-4011(843) 679-4214Fax: (843) 679-4217Musc Health Florence Medical CenterMon - Fri 2:00 to 10:00 Sat 9:00 to 6:00 PCMH: No



37719585

Allied Providers

Florence

Nurse Practitioner Gerentology -

cont.

Kight, Paige APRN Provider ID: 1784744Gender: FemaleMusc Physicians Primary Care Vance2501 S Vance Dr, Ste AFlorence, SC 29505-6163(843) 679-4019Fax: (843) 679-4022Musc Health Florence Medical CenterMon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Owens, Kimberly APRN Provider ID: 1362207Gender: Female148 Sauls St, Ste ELake City, SC 29560-2677(843) 699-9183Fax: (843) 699-9518Musc Health Florence Medical CenterPCMH: No

Owens, Kimberly APRN Provider ID: 1362207Gender: FemaleMusc Physicians Pee Dee Primary Car1594 Freedom Blvd, Ste C202Florence, SC 29505(843) 664-9696Fax: (843) 629-7209Musc Health Florence Medical CenterMon - Fri 8:00 to 5:00 PCMH: No

Nurse Practitioner Womens Health

Parker, Melinda APRN Provider ID: 1557340Gender: FemaleOhio Valley Physicians Inc238 S Coit StFlorence, SC 29501-4422(843) 665-9349Fax: (843) 667-1615Mon - Fri 8:30 to 4:30 PCMH: No

Nutrition

Finklea, Kitty RD Provider ID: 951674Gender: FemaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00 PCMH: No

Longan, Anita RD Provider ID: 934369Gender: Female360 N Irby StFlorence, SC 29501-2808(843) 432-3714Fax: (843) 656-8865Mon - Fri 8:00 to 5:00 PCMH: No


Belk, Cindy OT Provider ID: 1328029Gender: FemaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC (843) 662-5233Fax: (843) 678-9003Mon 8:00 to 4:30 Tue 8:00 to 5:30 Wed - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Blackwell, Joyce OT Provider ID: 776116Gender: FemaleMcleod Regional Medical Center440 2nd Loop RdFlorence, SC 29501(843) 777-4075Mon - Fri 9:00 to 5:00 PCMH: No

Blasius, Melony MD Provider ID: 776127Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-2000Mon - Fri 9:00 to 5:00 PCMH: No

Einziger, Samantha OT Provider ID: 1768055Gender: FemaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 777-7925Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Feagin, Brian OT Provider ID: 772922Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 662-5233Fax: (843) 432-1930Mon - Fri 8:00 to 5:00 PCMH: No

Orthopaedic Surgery

Alford, Bryan PA Provider ID: 1046700Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No



37719585

Allied Providers

Florence


Crisp, Brian PA Provider ID: 953681Gender: MaleMcleod Orthopaedics800 E Cheves St, Ste 480Florence, SC 29506-2653(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No

Crisp, Brian PA Provider ID: 953681Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No

Huiet, Christopher PA Provider ID: 1278403Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 662-5233Fax: (843) 432-1930Mon - Fri 8:00 to 5:00 PCMH: No

Ulmer, John PA Provider ID: 949624Gender: MaleMcleod Orthopaedics800 E Cheves St, Ste 480Florence, SC 29506-2653(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No

Ulmer, John PA Provider ID: 949624Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No

Physical Therapy

Belser Jr, Roy PT Provider ID: 1486761Gender: MalePro-Motion Physical Therapy148 Sauls St, BLake City, SC 29560(843) 374-0185Fax: (843) 374-0189Mon - Thu 8:00 to 6:00 Fri 8:00 to 12:00 PCMH: No

Belser Jr, Roy PT Provider ID: 1486761Gender: MalePro-Motion Physical Therapy610 W Palmetto StFlorence, SC 29501(843) 407-0377Fax: (843) 799-1944Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Bunten, Kimberly PT Provider ID: 1432392Gender: FemalePriority Physical Therapy2521 S Cashua DrFlorence, SC 29501(843) 536-4888Fax: (843) 799-0992Mon - Fri 7:00 to 5:30 PCMH: No

Bushman, Michael PT Provider ID: 2167105Gender: MalePriority Physical Therapy148 Sauls St, Ste BLake City, SC 29560-2677(843) 536-4888Fax: (843) 799-0992Mon - Thu 8:00 to 6:00 Fri 8:00 to 12:00 PCMH: No

Floyd, Whitney PT Provider ID: 2270182Gender: FemalePro-Motion Physical Therapy148 Sauls St, Ste BLake City, SC 29560-2677(843) 374-0185Fax: (843) 374-0189Mon - Thu 8:00 to 6:00 Fri 8:00 to 12:00 PCMH: No

Heyward, James PT Provider ID: 773124Gender: MaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-2000Mon - Fri 9:00 to 5:00 PCMH: No

Huggins, Lauren PT Provider ID: 1432394Gender: FemalePriority Physical Therapy2521 S Cashua DrFlorence, SC 29501(843) 536-4888Fax: (843) 799-0992Mon - Fri 7:00 to 5:00 PCMH: No



37719585

Allied Providers

Florence

Physical Therapy - cont.

Imbeau, Nancy PT Provider ID: 1174514Gender: FemalePro Motion Physical Therapy148b Sauls StLake City, SC 29560(843) 374-0185Fax: (843) 374-0189Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Imbeau, Nancy PT Provider ID: 1174514Gender: FemalePro-Motion Physical Therapy Of Flor610 W Palmetto StFlorence, SC 29501(843) 407-0377Fax: (843) 799-1944Mon - Fri 9:00 to 5:00 PCMH: No

Mcabee, Andrew PT Provider ID: 2298968Gender: MalePro-Motion Physical Therapy610 W Palmetto StFlorence, SC 29501-4302(843) 407-0377Fax: (843) 799-1944Mon - Thu 8:00 to 6:00 Fri 8:00 to 12:00 PCMH: No

Mcclain, Nicole PT Provider ID: 1552572Gender: FemalePro Motion Physical Therapy610 W Palmetto StFlorence, SC 29501-4302(843) 407-0377Fax: (843) 799-1944Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Poston, Laurie PT Provider ID: 2065664Gender: FemaleDynamic Development2461 S Hallmark DrFlorence, SC 29505-3911(843) 229-5813Fax: (843) 662-3612Mon - Tue, Thu - Fri 8:00 to 4:00 Wed 8:0 to to 0:0 PCMH: No

Wyont, Shannon PT Provider ID: 773737Gender: FemaleDynamic Development2461 S Hallmark DrFlorence, SC 29505-3911(843) 229-5813Fax: (843) 662-3612Mon - Fri 8:00 to 5:00 PCMH: No

Physician Assistant

Armstrong, Morgan PA Provider ID: 2318744Gender: FemaleMcleod Family Medicine South611 2nd Loop RdFlorence, SC 29505-2820(843) 777-9460Fax: (843) 678-3610Mon - Fri 8:00 to 5:00 PCMH: No

Barrett, Alan PA Provider ID: 902618Gender: MaleHopehealth IrbySubspecialty: HRSA FQHC360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00 PCMH: No

Black, Neicole PA Provider ID: 1749338Gender: FemaleDoctors Care South Irby2200 S Irby StFlorence, SC 29505-3423(843) 662-9945Fax: (843) 662-9946Mon - Fri 8:00 to 8:00 PCMH: No

Bramblett, Melanie PA Provider ID: 1347769Gender: FemaleMcleod Orthopaedics800 E Cheves St, Ste 480Florence, SC 29506-2653(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No

Bramblett, Melanie PA Provider ID: 1347769Gender: FemaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No

Edwards III, George PA Provider ID: 1467847Gender: MaleMcleod Orthopaedics800 East Cheves St, Ste 480Florence, SC 29506(843) 777-7900Fax: (843) 777-7925Mon - Thu 8:00 to 5:00 Fri 8:00 to 2:00 PCMH: No



37719585

Allied Providers

Florence

Physician Assistant - cont.

Edwards III, George PA Provider ID: 1467847Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No

Finch, Carole PA Provider ID: 814290Gender: FemaleOlanta Family Care211 S Jones RdOlanta, SC 29114-9705(843) 396-9730Fax: (843) 395-9735Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Knippen, Elizabeth PA Provider ID: 1206793Gender: FemaleDoctors Care Hoffmeyer Road2410 Hoffmeyer RdFlorence, SC 29501-7311(843) 662-8182Fax: (843) 662-8183Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 5:00 PCMH: No

Lee, Hope PA Provider ID: 1779612Gender: FemaleMcleod Urology Associates800 E Cheves St, Ste 350Florence, SC 29506-2649(843) 777-7555Fax: (843) 777-7563Mon - Fri 8:00 to 5:00 PCMH: No

Maksin, Michael PA Provider ID: 2156026Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No

Mitchell, Benjamin PA Provider ID: 1756979Gender: MaleMcleod Cardiothoracic Surgical Asso101 S Ravenel St, Ste 270Florence, SC 29506-2624(843) 777-7020Fax: (843) 664-9545Mon - Fri 8:00 to 5:00 PCMH: No

Pittard, Michelle PA Provider ID: 1360876Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506-2617(843) 777-3717Fax: (843) 777-5035Mon - Sun 12:00 to 12:00 PCMH: No

Sims, Whitney PA Provider ID: 2197182Gender: FemaleMcleod Cardiology Associates101 William H Johnson St, Ste 600Florence, SC 29506-2773(843) 667-1891Fax: (843) 665-2516Mon - Fri 8:00 to 5:00 PCMH: No

Snapp, Isaac PA Provider ID: 1276037Gender: MaleGenesis Healthcare Inc DBA Olanta F211 S Jones RdOlanta, SC 29114(843) 393-9723Fax: (843) 395-9735Mon - Fri 8:00 to 5:00 PCMH: No

Stevenson, Robert PA Provider ID: 1498822Gender: MaleMcleod Orthopaedics Florence1005 E Cheves StFlorence, SC 29506-2707(843) 777-7900Fax: (843) 777-7925Mon - Fri 8:00 to 5:00 PCMH: No

Strickland, Laura PA Provider ID: 1297176Gender: FemaleMcleod Spine Center800 E Cheves St, Ste 480 BFlorence, SC 29506-2653(843) 432-1880Fax: (843) 432-1022Mon - Fri 9:00 to 5:00 PCMH: No

Thomas, Julie PA Provider ID: 1769196Gender: FemaleDoctors Care South Irby2200 South Irby StreetFlorence, SC 29505-3423(843) 662-9945Fax: (843) 662-9946Mon - Fri 8:00 to 8:00 PCMH: No

Tohid, Usman PA Provider ID: 1775109Gender: Male360 N Irby St, # SrFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Fri 8:00 to 5:00 PCMH: No



37719585

Allied Providers

Florence


Tohid, Usman PA Provider ID: 1775109Gender: MaleHopehealth Inc600 E Palmetto StFlorence, SC 29506-2851(843) 667-9414Fax: (843) 667-1362Mon - Fri 7:30 to 5:00 PCMH: No

Wicker, Sonia PA Provider ID: 1302358Gender: FemaleMcleod Spine Center800 E Cheves St, Ste 480 BFlorence, SC 29506-2653(843) 432-1880Fax: (843) 432-1022Mon - Fri 8:00 to 5:00 PCMH: No

Physician Assistant Family Medicine

Smith, Lisa PA Provider ID: 1699251Gender: FemalePalmetto Geriatrics LLC1831 W Evans St, Ste 315Florence, SC 29501-3300(843) 679-4999Mon - Fri 8:00 to 5:00 PCMH: No


Bendle, Lakyn LPC Provider ID: 1723304Gender: FemaleHopehealth Inc600 E Palmetto StFlorence, SC 29506-2851(843) 667-9414Fax: (843) 667-1362Mon - Fri 7:30 to 5:00 PCMH: No

Bendle, Lakyn LPC Provider ID: 1723304Gender: FemaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Fri 8:00 to 8:00 PCMH: No

Cogdell-Quick, Edna LPC Provider ID: 1856900Gender: FemaleHopehealth Inc600 E Palmetto StFlorence, SC 29506-2851(843) 667-9414Fax: (843) 667-1362Mon - Fri 8:00 to 5:00 PCMH: No

Daniels, Prezillic LPC Provider ID: 2152797Gender: FemaleWellspring Psychology Group LLC1340 Celebration BlvdFlorence, SC 29501-5585(843) 536-1180Fax: (843) 536-1116Mon 9:00 to 7:00 Tue - Thu 8:00 to 7:00 Fri 8:00 to 5:00 PCMH: No

Durant, Kelvin LPC Provider ID: 1787248Gender: MaleA New You Counseling Center LLC901 W Evans St, Ste BFlorence, SC 29501-3441(843) 799-0088Mon - Fri 9:00 to 6:00 PCMH: No

Fuller, Clara LPC Provider ID: 1907910Gender: FemaleSanders Family Counseling2147a Hoffmeyer RdFlorence, SC 29501-4015(843) 661-6030Mon - Thu 8:00 to 8:00 Fri 10:00 to 5:00 PCMH: No

Malvarosa, Paul LPC Provider ID: 2113867Gender: MaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Sat 8:00 to 8:00 PCMH: No

Moore, Christopher LPC Provider ID: 1710849Gender: MaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Fri 8:00 to 8:00 PCMH: No

Roberts, Kimberly LPC Provider ID: 1856744Gender: FemaleThe Counseling Center Of Florence616 S Coit StFlorence, SC 29501-5223(843) 409-3046Fax: (843) 667-1549Mon - Thu 7:30 to 7:30 PCMH: No



37719585

Allied Providers

Florence

Professional Counselor - cont.

Simon Mcqueen, Ryedenna LPC

Provider ID: 1714307Gender: FemaleHopehealth Inc600 E Palmetto StFlorence, SC 29506-2851(843) 667-9414Fax: (843) 667-1362Mon - Fri 7:30 to 5:00 PCMH: No

Simon Mcqueen, Ryedenna LPC

Provider ID: 1714307Gender: FemaleHopehealth Irby360 N Irby StFlorence, SC 29501-2808(843) 667-9414Fax: (843) 667-1362Mon - Fri 8:00 to 8:00 PCMH: No

Tunstall, Marsha LPC Provider ID: 1858581Gender: FemaleHopehealth Inc600 E Palmetto StFlorence, SC 29506-2851(843) 667-9414Fax: (843) 667-1362Mon - Fri 7:30 to 5:00 PCMH: No


Mcbride, Karen SLP Provider ID: 2066196Gender: FemaleDynamic Development2461 S Hallmark DrFlorence, SC 29505-3911(843) 229-5813Fax: (843) 229-6623Mon - Fri 8:00 to 4:00 PCMH: No

White, Kristin SLP Provider ID: 1406198Gender: FemalePee Dee Speech And Hearing Center153 E N B Baroody StFlorence, SC 29506(843) 662-7802Fax: (843) 662-5601Mon - Fri 8:30 to 5:00 PCMH: No

Speech Therapy

English, Wynne MD Provider ID: 776768Gender: MaleMcleod Regional Med Ctr555 E Cheves StFlorence, SC 29505(843) 777-2196Mon - Fri 9:00 to 5:00 PCMH: No

Grasshoff, Victoria SLP Provider ID: 773888Gender: FemaleIts Therapy Inc3369 Lupine DrFlorence, SC 29501(843) 621-9889Fax: (843) 317-9944Mon - Fri 9:00 to 5:00 PCMH: No

Hudley, Jamila SLP Provider ID: 776590Gender: FemaleIts Therapy Inc3369 Lupine DrFlorence, SC 29501(843) 621-9889Fax: (843) 317-9944Mon - Fri 9:00 to 5:00 PCMH: No

Little, Elizabeth SLP Provider ID: 775101Gender: FemaleSpeech Pathology Associates2224 Palm CtFlorence, SC 29501(843) 332-7750Fax: (843) 332-7754Mon - Fri 8:00 to 5:00 PCMH: No

Parish, Jan SLP Provider ID: 770306Gender: FemaleMcleod Regional Medical Center555 E Cheves StFlorence, SC 29506(843) 777-2000Mon - Fri 9:00 to 5:00 PCMH: No

Stevens, Holly SLP Provider ID: 770024Gender: FemaleMcleod Regional Med Ctr555 E Cheves StFlorence, SC 29505(843) 777-2250Mon - Fri 9:00 to 5:00 PCMH: No

Wightman, Haley SLP Provider ID: 770247Gender: FemaleDynamic Development2461 S Hallmark DrFlorence, SC 29505(843) 229-5813Fax: (843) 662-3612Mon - Fri 8:00 to 5:00 PCMH: No

Wightman, Haley SLP Provider ID: 770248Gender: FemaleSpecialty Clinics555 E Cheves StFlorence, SC 29506(843) 777-4075Mon - Fri 9:00 to 5:00 PCMH: No



37719585

Allied Providers

Florence

Substance Abuse

Kirkland, Marion LPC Provider ID: 1240690Gender: MaleHopehealth Inc600 E Palmetto StFlorence, SC 29506-2851(843) 667-9414Fax: (843) 667-4133Mon - Fri 7:30 to 5:00 PCMH: No

Williams, Leslie LPC Provider ID: 1260935Gender: FemaleHopehealth Inc600 E Palmetto StFlorence, SC 29506-2851(843) 667-9414Fax: (843) 667-4133Mon - Fri 7:30 to 5:00 PCMH: No

Thoracic Surgery

Babb, Yarrow PA Provider ID: 953131Gender: MaleMcleod Cardiothoracic Surgical Asso101 S Ravenel St, Ste 270Florence, SC 29506-2611(843) 777-7020Fax: (843) 664-9545Mon - Fri 8:00 to 5:00 PCMH: No

Vascular Surgery

Moody, Ashley PA Provider ID: 1144130Gender: FemaleMcleod Vascular Associates101 S Ravenel St, Ste 230Florence, SC 29506-2624(803) 777-7043Fax: (803) 777-7041Mon - Fri 8:00 to 5:00 PCMH: No



37719585

Allied Providers

Horry

Advance Registered Nurse

Practitioner Psychiatrist

Reid, Maribeth APRN Provider ID: 1544284Gender: FemaleLittle River Medical Center4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Mon - Fri 8:30 to 5:30 PCMH: No

Reid, Maribeth APRN Provider ID: 1544286Gender: FemaleLittle River Medical Center3817 Main StLoris, SC 29569-3017(843) 663-8000Mon - Fri 8:30 to 5:30 PCMH: No

Reid, Maribeth APRN Provider ID: 1544289Gender: FemaleLittle River Medical Center1075 Mr Joe White Ave, Ste 101Myrtle Beach, SC 29577-5658(843) 663-8000Mon - Fri 8:30 to 5:30 PCMH: No

Reid, Maribeth APRN Provider ID: 1544290Gender: FemaleLittle River Medical Center4220 Carolina Exchange DrMyrtle Beach, SC 29579-4220(843) 663-8000Mon - Fri 8:30 to 5:30 PCMH: No

Reid, Maribeth APRN Provider ID: 1544292Gender: FemaleLittle River Medical Center3236 Holmestown Rd, Unit E1Myrtle Beach, SC 29588-7495(843) 663-8000Mon - Fri 8:30 to 5:30 PCMH: No

Advanced Practice Registered Nurse

Hudson, Linda APRN Provider ID: 1544750Gender: FemaleHealth Care Partners Of South Carol1608 Main StConway, SC 29526-3572(843) 248-4700Fax: (843) 488-6345Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No

Johnston, Virginia APRN Provider ID: 1579495Gender: FemaleGeorgetown Physician Associates Ll4040 Highway 17, Unit 104Murrells Inlet, SC 29576-5098(843) 652-8150Fax: (843) 652-8151Mon - Fri 8:30 to 5:00 PCMH: No

Reynolds, Lauren CRNA Provider ID: 1782413Gender: FemaleStrand Gi Associates Pa945 82nd Pkwy, Ste 3aMyrtle Beach, SC 29572-4612(843) 449-3381Fax: (843) 629-9621Mon - Thu 8:00 to 5:00 Fri 8:00 to 10:0 PCMH: No

Audiology

Benbow, Pamela AUD Provider ID: 773382Gender: FemaleHearing Health Care5913 N Kings HwyMyrtle Beach, SC 29577(843) 497-6156Mon - Fri 9:00 to 5:00 PCMH: No

Gray Stanley, Tommi AUD

Provider ID: 1250088Gender: FemaleCmc ENT808 Farrar DrConway, SC 29526(843) 347-7300Fax: (843) 347-8459Mon - Fri 8:30 to 5:00 PCMH: No

Gray Stanley, Tommi AUD Provider ID: 1367870Gender: FemaleGrand Strand Hearing LLC1016 2nd Ave N, Ste 102North Myrtle Beach, SC 29582(843) 732-6090Fax: (843) 491-3573Tue - Wed, Fri 8:00 to 5:00 PCMH: No

Lee, Alexandria AUD Provider ID: 1530385Gender: FemaleCmc ENT808 Farrar DrConway, SC 29526-8747(843) 347-7300Fax: (843) 347-8459Mon - Thu 8:30 to 5:00 Fri 8:30 to 1:00 PCMH: No

Levy, Marissa AUD Provider ID: 2356981Gender: FemaleCmc ENT808 Farrar DrConway, SC 29526(843) 347-7300Fax: (843) 347-8459Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No



37719585

Allied Providers

Horry


Johnson, Katy PA Provider ID: 1045787Gender: FemaleGrand Strand Surgical Specialists933 Medical CirMyrtle Beach, SC 29572-4116(843) 497-7772Fax: (843) 497-7627Grand Strand Regional Medical CenterMon - Thu 9:00 to 5:00 Fri 9:00 to 4:00 PCMH: No

Cardiology

Hardee, Joseph PA Provider ID: 921408Gender: MalePee Dee Cardiology Associates3980 Highway 9 E, Ste 220Little River, SC 29566-8164(843) 390-0877Fax: (843) 390-0881Mon - Fri 8:00 to 5:00 PCMH: No

Hardee, Joseph PA Provider ID: 921408Gender: MalePee Dee Cardiology Associates Loris3485 Mitchell StLoris, SC 29569-8164(843) 756-7029Fax: (843) 756-7033Mon - Fri 8:00 to 5:00 PCMH: No

Jackson, Tamiko APRN Provider ID: 1422985Gender: FemaleGrand Strand Surgical Specialists8210 Devon CtMyrtle Beach, SC 29572(843) 497-7772Fax: (843) 848-7530Mon - Thu 8:30 to 5:00 Fri 8:30 to 4:00 PCMH: No


Allen, Scott CRNA Provider ID: 1533062Gender: MaleStrand Gi Associates Pa7900 N Kings HwyMyrtle Beach, SC 29572-3055(843) 449-3381Fax: (843) 449-9721Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Christian, Jeanine CRNA

Provider ID: 2051620Gender: FemaleStrand Gi Associates945 82nd Pkwy, Ste 3aMyrtle Beach, SC 29572-4612(843) 449-3381Fax: (843) 449-9721Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Ciancione, Jerome CRNA Provider ID: 1740124Gender: MaleStrand Gi Associates Pa945 82nd Pkwy, Ste 3aMyrtle Beach, SC 29572-4612(843) 449-3381Fax: (843) 692-9621Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Forrest, James CRNA Provider ID: 2306989Gender: MaleStrand Gi Associates7900 N Kings HwyMyrtle Beach, SC 29572-3055(843) 449-3381Fax: (843) 449-9721Mon - Thu 8:00 to 5:00 Fri 8:00 to 2:00 PCMH: No

Fowler, Tiffany APRN Provider ID: 2029288Gender: FemaleCmc Women's Health Conway2376 Cypress Cir, Ste 200Conway, SC 29526-8994(843) 347-7216Fax: (843) 347-7218Mon - Fri 8:00 to 5:00 PCMH: No

Harrold, Bernadette CRNA


Jones, Karen CRNA Provider ID: 1832823Gender: FemaleMcleod Oncology Hematology Associ3980 Highway 9 E, Ste 300Little River, SC 29566-8165(843) 366-3891Fax: (843) 366-3892Mon - Fri 8:00 to 5:00 PCMH: No

Mullaney, Courtney CRNA

Provider ID: 2189666Gender: FemaleStrand Gi Associates Pa945 82nd Pkwy, Ste 3aMyrtle Beach, SC 29572-4612(843) 449-3381Fax: (843) 692-9621Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No



37719585

Allied Providers

Horry

Certified Nurse Anesthetist - cont.

Pacheco, Stephanie CRNA


Post, Moira CRNA Provider ID: 2144987Gender: FemaleMcleod Loris Seacoast3655 Mitchell StLoris, SC 29569-2827(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Certified Nurse Midwife

Andrada, Marta CNM Provider ID: 1432402Gender: FemaleHealth Care Partners Of South Carol1608 Main StConway, SC 29526-3572(843) 248-4700Fax: (843) 248-3145Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No


Beck, Marcia CSW Provider ID: 1607196Gender: FemaleMarcia Beck1021 2nd Ave N, Ste 5North Myrtle Beach, SC 29582-3200(843) 280-2280Fax: (253) 252-8792Mon - Fri 10:00 to 7:00 PCMH: No

Davis, Rochelle LCSW Provider ID: 1541192Gender: FemaleLittle River Medical Center Inc4220 Carolina Exchange DrMyrtle Beach, SC 29579-4220(843) 663-8000Mon - Fri 8:00 to 7:00 PCMH: No


Harris, Larry PA Provider ID: 1190819Gender: MaleRoper St Francis Physician Partners4823 Hwy 17 N, Ste BMurrells Inlet, SC 29576-5037(843) 723-8823Fax: (843) 766-6551Mon - Fri 9:00 to 5:00 PCMH: No

Landers, Summer PA Provider ID: 1190925Gender: FemaleRoper St Francis Physician Partners4823 Hwy 17 N, Ste BMurrells Inlet, SC 29576-5037(843) 723-8823Fax: (843) 766-6551Mon - Fri 9:00 to 5:00 PCMH: No

Mctavish, Joseph PA Provider ID: 1190978Gender: MaleRoper St Francis Physician Partners4823 Hwy 17 N, Ste BMurrells Inlet, SC 29576-5037(843) 723-8823Fax: (843) 766-6551Mon - Fri 9:00 to 5:00 PCMH: No

Moore, Adele CNP Provider ID: 1190990Gender: FemaleRoper St. Francis Physician Partner4835 Hwy 17 N Bypass Ste BMurrells Inlet, SC 29576-5037(843) 723-8823Fax: (843) 766-6551Mon - Fri 9:00 to 5:00 PCMH: No

Robinson, Christopher PA Provider ID: 1191058Gender: MaleRoper St. Francis Physician Partner4630 Highway 17Murrells Inlet, SC 29576-5016(843) 958-1281Fax: (843) 958-1278Mon - Fri 9:00 to 5:00 PCMH: No

Ear Nose & Throat

Mauldin, Kristen PA Provider ID: 1298535Gender: FemaleCharleston ENT Associates LLC4835 Highway 17, Ste BMurrells Inlet, SC 29576(843) 766-7103Mon - Fri 8:00 to 5:00 PCMH: No

Family Practice

Doud-Kearns, Tina APRN Provider ID: 767175Gender: FemaleLittle River Medical Center7724 N Kings HwyMyrtle Beach, SC 29572-3041(843) 663-8011Fax: (843) 663-1018Mon - Fri 8:30 to 5:30 PCMH: No



37719585

Allied Providers

Horry


Eaton, Carol PA Provider ID: 1260913Gender: FemaleCpg Family Medicine5010 Carolina Forest BlvdMyrtle Beach, SC 29579(843) 236-2700Fax: (843) 236-2726Mon - Fri 8:00 to 5:00 PCMH: No

Haynes, Jennifer APRN Provider ID: 896762Gender: FemaleLittle River Medical Center Inc7724 N Kings HwyMyrtle Beach, SC 29572-3041(843) 663-8011Fax: (843) 663-1018Mon - Fri 8:30 to 5:30 PCMH: No

Haynes, Jennifer APRN Provider ID: 896763Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8238Fax: (843) 663-8127Mon, Wed 8:30 to 7:00 Tue, Thu - Fri 8:30 to 5:30 PCMH: No

Stone, Kaitlin APRN Provider ID: 1265705Gender: FemaleGeorgetown Physician Associates LLC4301 Dick Pond RdMyrtle Beach, SC 29588-6807(843) 652-8100Fax: (843) 652-8122Mon - Thu 7:30 to 6:00 Fri 8:00 to 5:00 PCMH: No

Surratt, Susan ARNP Provider ID: 1206872Gender: FemaleDoctors Care Surfside1600 Highway 17 NMyrtle Beach, SC 29575-6015(843) 238-1461Fax: (843) 828-0622Mon - Sun 8:00 to 8:00 PCMH: No

Vincent, Heather PA Provider ID: 1421882Gender: FemaleWaterway Primary Care LLC4237 River Hills Dr, Ste 150Little River, SC 29566(843) 281-2778Fax: (843) 281-2785Mon - Fri 8:00 to 5:00 PCMH: No

Wilson, Beverly APRN Provider ID: 814499Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8100Mon - Fri 8:30 to 5:30 PCMH: No

Wilson, Beverly APRN Provider ID: 903407Gender: FemaleLittle River Medical Center4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8100Mon - Fri 8:30 to 5:30 PCMH: No

Wilson, Beverly APRN Provider ID: 903410Gender: FemaleLittle River Medical Center3817 Main StLoris, SC 29569-3017(843) 663-8000Fax: (843) 663-8100Mon - Fri 8:30 to 5:30 PCMH: No

Wilson, Beverly APRN Provider ID: 903412Gender: FemaleLittle River Medical Center7724 N Kings HwyMyrtle Beach, SC 29572-3041(843) 663-8000Fax: (803) 663-8111Mon - Fri 8:30 to 5:30 PCMH: No

Wilson, Beverly APRN Provider ID: 903416Gender: FemaleLittle River Medical Center1075 Mr Joe White Ave, Ste 101Myrtle Beach, SC 29577(843) 663-8011Fax: (843) 663-8111Mon - Fri 8:30 to 5:30 PCMH: No

Wilson, Beverly APRN Provider ID: 903417Gender: Female3236 Holmestown Rd, Ste E1Myrtle Beach, SC 29588(843) 663-8000Fax: (843) 663-8111Mon - Fri 8:30 to 5:30 PCMH: No


Amaradasa, Natali APRN Provider ID: 1736809Gender: FemaleLittle River Medical Center Inc4220 Carolina Exchange DrMyrtle Beach, SC 29579-4220(843) 663-8000Fax: (843) 663-8100Mon - Fri 8:00 to 4:00 PCMH: No



37719585

Allied Providers

Horry


cont.

Andrada, Marta CNM Provider ID: 1432402Gender: FemaleHealth Care Partners Of South Carol1608 Main StConway, SC 29526-3572(843) 248-4700Fax: (843) 248-3145Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No

Bush, Crystal CSW Provider ID: 1839664Gender: FemaleLittle River Medical Center Inc3817 Main StLoris, SC 29569-3017(843) 663-8000Fax: (843) 756-6828Mon - Tue 8:00 to 7:00 Wed 8:00 to 70:0 Thu 8:30 to 9:00 Fri 8:30 to 5:30 PCMH: No

Bush, Crystal CSW Provider ID: 1839664Gender: FemaleLittle River Medical Center Inc4220 Carolina Exchange DrMyrtle Beach, SC 29579-4220(843) 663-8000Mon - Fri 8:00 to 7:00 PCMH: No

Bush, Crystal CSW Provider ID: 1839664Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon, Wed 8:00 to 7:00 Tue, Thu - Fri 8:00 to 6:00 PCMH: No

Bush, Crystal CSW Provider ID: 1839664Gender: FemaleLittle River Medical Center Inc7724 N Kings HwyMyrtle Beach, SC 29572-3041(843) 663-8000Fax: (843) 663-8256Mon - Fri 8:30 to 5:30 PCMH: No

Buster, Linda APRN Provider ID: 769714Gender: FemaleLittle River Medical Center Inc3817 Main StLoris, SC 29569-3017(843) 663-8000Fax: (843) 756-6828Mon, Fri 8:30 to 5:30 Tue - Thu 8:00 to 5:30 PCMH: No

Buster, Linda APRN Provider ID: 769715Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8100Mon 8:30 to 7:00 Tue, Thu 8:00 to 5:30 Wed 8:00 to 7:00 Fri 8:30 to 5:30 PCMH: No

Buster, Linda APRN Provider ID: 972659Gender: FemaleLittle River Medical Center Inc3236 Holmestown Rd, Ste E1Myrtle Beach, SC 29588-7495(843) 663-8000Mon - Fri 9:00 to 5:00 PCMH: No

Coffin, Dawn APRN Provider ID: 1495442Gender: FemaleLittle River Medical Center Inc.7724 N Kings HwyMyrtle Beach, SC 29572-3041(843) 663-8000Fax: (843) 663-8172Mon - Fri 8:30 to 5:30 PCMH: No

Coffin, Dawn APRN Provider ID: 1495444Gender: FemaleLittle River Medical Center Inc.4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Mon - Fri 8:30 to 5:30 PCMH: No

Coffin, Dawn APRN Provider ID: 1495446Gender: FemaleLittle River Medical Center Inc.3236 Holmestown Rd, Unit E1Myrtle Beach, SC 29588-7495(843) 663-8000Mon - Fri 8:30 to 5:30 PCMH: No

Coffin, Dawn APRN Provider ID: 1495448Gender: FemaleLittle River Medical Center Inc.1075 Mr Joe White Ave, Unit 101Myrtle Beach, SC 29577-5658(843) 663-8000Mon - Fri 8:30 to 5:30 PCMH: No

Coffin, Dawn APRN Provider ID: 1495450Gender: FemaleLittle River Medical Center Inc.3817 Main StLoris, SC 29569-3017(843) 663-8000Mon - Fri 8:30 to 5:30 PCMH: No



37719585

Allied Providers

Horry


cont.

Coffin, Dawn APRN Provider ID: 1495451Gender: FemaleLittle River Medical Center Inc.4220 Carolina Exchange DrMyrtle Beach, SC 29579-4220(843) 663-8000Mon - Fri 8:30 to 5:30 PCMH: No

Davis, Rochelle LCSW Provider ID: 1541192Gender: FemaleLittle River Medical Center Inc4220 Carolina Exchange DrMyrtle Beach, SC 29579-4220(843) 663-8000Mon - Fri 8:00 to 7:00 PCMH: No

Doud-Kearns, Tina ARNP Provider ID: 767174Gender: FemaleLittle River Medical Center4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8100Mon, Wed 8:30 to 7:00 Tue, Thu - Fri 8:30 to 5:30 PCMH: No

Doud-Kearns, Tina APRN Provider ID: 767175Gender: FemaleLittle River Medical Center7724 N Kings HwyMyrtle Beach, SC 29572-3041(843) 663-8011Fax: (843) 663-1018Mon - Fri 8:30 to 5:30 PCMH: No

Elliott, Alexis LSW Provider ID: 2137276Gender: FemaleHealth Cate Partners Of South Carol1608 Main StConway, SC 29526-3572(843) 488-6030Fax: (877) 322-0181Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No

Freeman, Katherine APRN Provider ID: 2168064Gender: FemaleHealth Care Partners Of Sc1608 Main StConway, SC 29526-3572(843) 488-6030Fax: (877) 322-0181Mon - Fri 9:00 to 5:00 Sat 8:00 to 12:00 PCMH: No

Gerrald, Amanda APRN Provider ID: 1336007Gender: FemaleHealth Care Partners Of South Carol1608 Main StConway, SC 29526-3572(843) 248-4700Fax: (843) 488-6345Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No

Harris, Sarah APRN Provider ID: 1842355Gender: FemaleHealth Care Partners Of South Carol1608 Main StConway, SC 29526-3572(843) 248-4700Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No

Haynes, Jennifer APRN Provider ID: 767495Gender: FemaleLittle River Medical Center Inc1075 Mr Joe White Ave, Ste 101Myrtle Beach, SC 29577(843) 663-8000Fax: (843) 839-1857Mon - Fri 8:30 to 5:30 PCMH: No

Haynes, Jennifer APRN Provider ID: 767496Gender: FemaleLittle River Medical Center Inc3817 Main StLoris, SC 29569(843) 663-8000Fax: (843) 756-6828Mon - Fri 8:30 to 5:30 PCMH: No

Haynes, Jennifer APRN Provider ID: 896762Gender: FemaleLittle River Medical Center Inc7724 N Kings HwyMyrtle Beach, SC 29572-3041(843) 663-8011Fax: (843) 663-1018Mon - Fri 8:30 to 5:30 PCMH: No

Haynes, Jennifer APRN Provider ID: 896763Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8238Fax: (843) 663-8127Mon, Wed 8:30 to 7:00 Tue, Thu - Fri 8:30 to 5:30 PCMH: No



37719585

Allied Providers

Horry


cont.

Hudson, Linda APRN Provider ID: 1544750Gender: FemaleHealth Care Partners Of South Carol1608 Main StConway, SC 29526-3572(843) 248-4700Fax: (843) 488-6345Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No

Kuball, Lyn-Marie APRN Provider ID: 2181976Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon, Wed 8:00 to 7:00 Tue, Thu - Fri 8:00 to 5:30 PCMH: No

Kuball, Lyn-Marie APRN Provider ID: 2181986Gender: FemaleLittle River Medical Center Inc4220 Carolina Exchange DrMyrtle Beach, SC 29579-4220(843) 663-8000Mon, Wed 8:00 to 7:00 Tue, Thu - Fri 8:00 to 5:30 PCMH: No

Lambertus, Viki APRN Provider ID: 1241439Gender: FemaleLittle River Medical Center Inc7724 N Kings HwyMyrtle Beach, SC 29572(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30 PCMH: No

Lambertus, Viki APRN Provider ID: 1241445Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566(843) 663-8000Fax: (843) 663-8100Mon - Fri 8:30 to 5:30 PCMH: No

Lambertus, Viki APRN Provider ID: 1241447Gender: FemaleLittle River Medical Center Inc3817 Main StLoris, SC 29569(843) 663-8000Fax: (843) 756-6828Mon - Fri 8:30 to 5:30 PCMH: No

Lukowski, Meredith ARNP Provider ID: 1834954Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30 PCMH: No

Mannain, Taanya LSW Provider ID: 1244389Gender: FemaleLittle River Medical Center Inc1075 Mr Joe White Ave, Ste 101Myrtle Beach, SC 29577-5658(843) 663-8000Fax: (843) 839-2052Mon - Fri 8:30 to 5:30 PCMH: No

Mannain, Taanya LSW Provider ID: 1244389Gender: FemaleLittle River Medical Center Inc3236 Holmestown RdMyrtle Beach, SC 29588(843) 663-8000Fax: (843) 663-8092Mon - Fri 8:30 to 5:30 PCMH: No

Mannain, Taanya LSW Provider ID: 1244389Gender: FemaleLittle River Medical Center Inc3817 Main StLoris, SC 29569-3017(843) 663-8000Fax: (843) 756-6828Mon - Fri 8:30 to 5:30 PCMH: No

Mannain, Taanya LSW Provider ID: 1244389Gender: FemaleLittle River Medical Center Inc4220 Carolina Exchange DrMyrtle Beach, SC 29579(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30 PCMH: No

Mannain, Taanya LSW Provider ID: 1244389Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:00 PCMH: No

Mannain, Taanya LSW Provider ID: 1244389Gender: FemaleLittle River Medical Center Inc7724 N Kings HwyMyrtle Beach, SC 29572-3041(843) 663-8000Fax: (843) 663-8256Mon - Fri 8:30 to 5:30 PCMH: No




37719585

Allied Providers

Horry


cont.

Moore, Janice APRN Provider ID: 1243626Gender: FemaleLittle River Medical Center Inc1075 Mr Joe White Ave, Ste 101Myrtle Beach, SC 29577-5658(843) 663-8000Fax: (843) 839-2052Mon - Fri 8:30 to 5:30 PCMH: No

Moore, Janice APRN Provider ID: 1243627Gender: FemaleLittle River Medical Center Inc3817 Main StLoris, SC 29569-3017(843) 663-8000Fax: (843) 663-8100Mon - Fri 8:30 to 5:30 PCMH: No

Moore, Janice APRN Provider ID: 1243629Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30 PCMH: No

Nelson, Lindsey CSW Provider ID: 2045890Gender: FemaleLittle Rivers Medical Center4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Mon - Thu 8:30 to 5:30 Fri 8:30 to 5:00 PCMH: No

Nelson, Lindsey CSW Provider ID: 2045890Gender: FemaleLittle River Medical Center Inc3236 Holmestown Rd, Unit E1Myrtle Beach, SC 29588-7495(843) 663-8000Fax: (843) 663-8123Mon - Thu 8:30 to 5:30 Fri 8:30 to 5:00 PCMH: No

Nelson, Lindsey CSW Provider ID: 2045890Gender: FemaleLittle River Medical Center Inc3817 Main StLoris, SC 29569-3017(843) 663-8000Mon - Thu 8:30 to 5:30 Fri 8:30 to 5:00 PCMH: No

Nelson, Lindsey CSW Provider ID: 2045890Gender: FemaleLittle River Medical Center Inc4220 Carolina Exchange DrMyrtle Beach, SC 29579-4220(843) 663-8000Mon - Thu 8:30 to 5:30 Fri 8:30 to 5:00 PCMH: No

Nelson, Lindsey CSW Provider ID: 2045890Gender: FemaleLittle River Medical Center Inc7724 N Kings HwyMyrtle Beach, SC 29572-3041(843) 663-8000Mon - Thu 8:30 to 5:30 Fri 8:30 to 5:00 PCMH: No

Painter, Autumn APRN Provider ID: 2148094Gender: FemaleHealth Care Partners Of Sc Inc.1608 Main StConway, SC 29526-3572(843) 488-6030Fax: (877) 322-0181Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No

Painter, Autumn APRN Provider ID: 2148094Gender: FemaleHealth Care Partners Of Sc Inc.243 Singleton Ridge Rd, Units E FConway, SC 29526(843) 488-6030Fax: (877) 322-0181Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No

Payne, Tricia CSW Provider ID: 1243325Gender: FemaleLittle River Medical Center Inc1075 Mr Joe White AveMyrtle Beach, SC 29577-5658(843) 663-8000Fax: (843) 839-2052Mon - Fri 8:00 to 5:00 PCMH: No

Payne, Tricia CSW Provider ID: 1243325Gender: FemaleLittle River Medical Center Inc3236 Holmestown RdMyrtle Beach, SC 29569-3017(843) 663-8000Fax: (843) 663-8092Mon - Fri 8:00 to 5:00 PCMH: No



37719585

Allied Providers

Horry


cont.

Payne, Tricia CSW Provider ID: 1243325Gender: FemaleLittle River Medical Center Inc3817 Main StLoris, SC 29569-3017(843) 663-8000Fax: (843) 756-6828Mon - Fri 8:00 to 5:00 PCMH: No

Payne, Tricia CSW Provider ID: 1243325Gender: FemaleLittle River Medical Center Inc4220 Carolina Exchange Dr, Suite 101Myrtle Beach, SC 28579(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:00 to 5:00 PCMH: No

Payne, Tricia CSW Provider ID: 1243325Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:00 to 5:00 PCMH: No

Payne, Tricia CSW Provider ID: 1243325Gender: FemaleLittle River Medical Center Inc7724 N Kings HwyMyrtle Beach, SC 29572-3041(843) 663-8000Fax: (843) 663-8258Mon - Fri 8:00 to 5:00 PCMH: No

Reid, Maribeth APRN Provider ID: 1544284Gender: FemaleLittle River Medical Center4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Mon - Fri 8:30 to 5:30 PCMH: No

Reid, Maribeth APRN Provider ID: 1544286Gender: FemaleLittle River Medical Center3817 Main StLoris, SC 29569-3017(843) 663-8000Mon - Fri 8:30 to 5:30 PCMH: No

Reid, Maribeth APRN Provider ID: 1544289Gender: FemaleLittle River Medical Center1075 Mr Joe White Ave, Ste 101Myrtle Beach, SC 29577-5658(843) 663-8000Mon - Fri 8:30 to 5:30 PCMH: No

Reid, Maribeth APRN Provider ID: 1544290Gender: FemaleLittle River Medical Center4220 Carolina Exchange DrMyrtle Beach, SC 29579-4220(843) 663-8000Mon - Fri 8:30 to 5:30 PCMH: No

Reid, Maribeth APRN Provider ID: 1544292Gender: FemaleLittle River Medical Center3236 Holmestown Rd, Unit E1Myrtle Beach, SC 29588-7495(843) 663-8000Mon - Fri 8:30 to 5:30 PCMH: No

Rollings, Jan LCSW Provider ID: 1530927Gender: FemaleLittle River Medical Center3817 Main StLoris, SC 29569-3017(843) 663-8000Fax: (843) 663-8113Mon - Fri 8:30 to 5:30 PCMH: No

Rollings, Jan LCSW Provider ID: 1530927Gender: FemaleLittle River Medical Center Inc1075 Mr Joe White Ave, Unit 101Myrtle Beach, SC 29577-5658(843) 663-8000Fax: (843) 663-8113Mon - Fri 8:30 to 5:30 PCMH: No

Rollings, Jan LCSW Provider ID: 1530927Gender: FemaleLittle River Medical Center Inc3236 Holmestown Rd, Unit E1Myrtle Beach, SC 29588-7495(843) 663-8000Fax: (843) 663-8113Mon - Fri 8:30 to 5:30 PCMH: No

Rollings, Jan LCSW Provider ID: 1530927Gender: FemaleLittle River Medical Center Inc4220 Carolina Exchange DrMyrtle Beach, SC 29579(843) 663-8000Fax: (843) 663-8113Mon - Fri 8:30 to 5:30 PCMH: No

Rollings, Jan LCSW Provider ID: 1530927Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8166Mon - Fri 8:30 to 5:30 PCMH: No



37719585

Allied Providers

Horry


cont.

Rollings, Jan LCSW Provider ID: 1530927Gender: FemaleLittle River Medical Center Inc7724 N Kings HwyMyrtle Beach, SC 29572(843) 663-8000Fax: (843) 663-8113Mon - Fri 8:30 to 5:30 PCMH: No

Teague, Allen LPC Provider ID: 774912Gender: MaleLittle River Medical Center1075 Mr Joe White Ave, Ste 101Myrtle Beach, SC 29577-5657(843) 663-1013Fax: (843) 663-1018Mon - Fri 8:30 to 5:30 PCMH: No

Thompson, Donna LCSW Provider ID: 1118250Gender: FemaleLittle River Medical Center Inc1075 Mr Joe White Ave, Ste 101Myrtle Beach, SC 29577-5658(843) 663-8000Fax: (843) 839-2052Mon - Fri 8:30 to 5:30 PCMH: No

Thompson, Donna LCSW Provider ID: 1118250Gender: FemaleLittle River Medical Center Inc3236 Holmestown Rd, Ste E1Loris, SC 29569(843) 663-8000Fax: (843) 663-8092Mon - Fri 8:30 to 5:30 PCMH: No

Thompson, Donna LCSW Provider ID: 1118250Gender: FemaleLittle River Medical Center Inc3817 Main StLoris, SC 29569-3017(843) 663-8000Fax: (843) 756-6828Mon - Fri 8:30 to 5:30 PCMH: No

Thompson, Donna LCSW Provider ID: 1118250Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30 PCMH: No

Thompson, Donna LCSW Provider ID: 1118250Gender: FemaleLittle River Medical Center Inc7724 N Kings HwyMyrtle Beach, SC 29572-3041(843) 663-8000Fax: (843) 663-8256Mon - Fri 8:30 to 5:30 PCMH: No


Ward, Mary LPC Provider ID: 1445506Gender: FemaleLittle River Medical Center Inc1075 Mr Joe White Ave, Unit 101Myrtle Beach, SC 29577-5658(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30 PCMH: No

Ward, Mary LPC Provider ID: 1445506Gender: FemaleLittle River Medical Center Inc3236 Holmestown Rd, Unit E1Myrtle Beach, SC 29588-7495(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30 PCMH: No

Ward, Mary LPC Provider ID: 1445506Gender: FemaleLittle River Medical Center Inc3817 Main StLoris, SC 29569-3017(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30 PCMH: No

Ward, Mary LPC Provider ID: 1445506Gender: FemaleLittle River Medical Center Inc4220 Carolina Exchange DrMyrtle Beach, SC 29579-4220(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30 PCMH: No

Ward, Mary LPC Provider ID: 1445506Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon - Fri 9:00 to 5:00 PCMH: No

Ward, Mary LPC Provider ID: 1445506Gender: FemaleLittle River Medical Center Inc7724 N Kings HwyMyrtle Beach, SC 29572-3041(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30 PCMH: No



37719585

Allied Providers

Horry


cont.


Wilds, Linda APRN Provider ID: 1354159Gender: FemaleHealth Care Partners Of South Carol1608 Main StConway, SC 29526(843) 248-4700Sat 8:00 to 12:00 PCMH: No

Wilson, Beverly APRN Provider ID: 814499Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8100Mon - Fri 8:30 to 5:30 PCMH: No

Wilson, Beverly APRN Provider ID: 903407Gender: FemaleLittle River Medical Center4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8100Mon - Fri 8:30 to 5:30 PCMH: No

Wilson, Beverly APRN Provider ID: 903410Gender: FemaleLittle River Medical Center3817 Main StLoris, SC 29569-3017(843) 663-8000Fax: (843) 663-8100Mon - Fri 8:30 to 5:30 PCMH: No

Wilson, Beverly APRN Provider ID: 903412Gender: FemaleLittle River Medical Center7724 N Kings HwyMyrtle Beach, SC 29572-3041(843) 663-8000Fax: (803) 663-8111Mon - Fri 8:30 to 5:30 PCMH: No

Wilson, Beverly APRN Provider ID: 903416Gender: FemaleLittle River Medical Center1075 Mr Joe White Ave, Ste 101Myrtle Beach, SC 29577(843) 663-8011Fax: (843) 663-8111Mon - Fri 8:30 to 5:30 PCMH: No

Wilson, Beverly APRN Provider ID: 903417Gender: Female3236 Holmestown Rd, Ste E1Myrtle Beach, SC 29588(843) 663-8000Fax: (843) 663-8111Mon - Fri 8:30 to 5:30 PCMH: No

Wiltshire, Charlotte RD Provider ID: 1143423Gender: FemaleLittle River Medical Center Inc3236 Holmestown Rd, Ste E1Myrtle Beach, SC 29588-7495(843) 663-8000Fax: (843) 663-8092Mon - Fri 8:30 to 5:30 PCMH: No

Gastroenterology

Gwyer, Carrie APRN Provider ID: 1285323Gender: FemaleGeorgetown Physician Associates Ll4040 Highway 17, Ste 302Murrells Inlet, SC 29576-5098(843) 652-8290Fax: (843) 652-8299Mon - Fri 8:30 to 5:00 PCMH: No

Gwyer, Carrie APRN Provider ID: 1285323Gender: FemaleGeorgetown Physician Associates Ll4301 Dick Pond RdMyrtle Beach, SC 29588-6807(843) 652-8290Fax: (843) 652-8299Mon - Fri 8:30 to 5:00 PCMH: No

General Practice

Hinman, Candace PA Provider ID: 1107314Gender: FemaleTidelands Health Family Medicine2347 Hwy 17 Bus SouthGarden City, SC 29576-7611(843) 357-2443Fax: (843) 357-2132Mon - Fri 8:00 to 5:30 PCMH: No

General Surgery

Brown, Daniel PA Provider ID: 1467844Gender: MaleGrand Strand Surgical Specialists849 82nd PkwyMyrtle Beach, SC 29572(703) 732-3104Fax: (855) 884-9422Mon - Thu 8:00 to 5:00 Fri 8:00 to 4:00 PCMH: No



37719585

Allied Providers

Horry


Burgess, La'asha PA Provider ID: 1466693Gender: FemaleGrand Strand Surgical Specialists L849 82nd PkwyMyrtle Beach, SC 29572-4614(843) 497-6348Fax: (843) 497-6351Mon - Thu 8:00 to 5:00 Fri 8:00 to 4:00 PCMH: No

Cote, Lydia PA Provider ID: 1084039Gender: FemaleGrand Strand Specialty Associates849 82nd PkwyMyrtle Beach, SC 29572(843) 497-6348Fax: (843) 497-6351Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Ventura, Katherine PA Provider ID: 1474502Gender: FemaleGrand Strand Surgical Specialistsl849 82nd PkwyMyrtle Beach, SC 29572(843) 497-6348Fax: (843) 497-6351Mon - Fri 8:00 to 5:00 PCMH: No

Internal Medicine

Garrett, Nicole PA Provider ID: 1183693Gender: FemaleGrand Strand Surgical Specialists8210 Devon CtMyrtle Beach, SC 29572(843) 497-7772Fax: (843) 848-7530Mon - Thu 9:00 to 5:00 Fri 9:00 to 4:00 PCMH: No

Gwyer, Carrie APRN Provider ID: 1285323Gender: FemaleGeorgetown Physician Associates Ll4040 Highway 17, Ste 302Murrells Inlet, SC 29576-5098(843) 652-8290Fax: (843) 652-8299Mon - Fri 8:30 to 5:00 PCMH: No

Gwyer, Carrie APRN Provider ID: 1285323Gender: FemaleGeorgetown Physician Associates Ll4301 Dick Pond RdMyrtle Beach, SC 29588-6807(843) 652-8290Fax: (843) 652-8299Mon - Fri 8:30 to 5:00 PCMH: No

Johnson, Katy PA Provider ID: 1045787Gender: FemaleGrand Strand Surgical Specialists933 Medical CirMyrtle Beach, SC 29572-4116(843) 497-7772Fax: (843) 497-7627Grand Strand Regional Medical CenterMon - Thu 9:00 to 5:00 Fri 9:00 to 4:00 PCMH: No

Krutke, Amanda CNP Provider ID: 1190911Gender: FemaleRoper St Francis Physician Partners4630 Highway 17Murrells Inlet, SC 29576-5016(843) 235-8333Fax: (843) 235-8334Mon - Fri 9:00 to 5:00 PCMH: No

Moore, Janice APRN Provider ID: 1243626Gender: FemaleLittle River Medical Center Inc1075 Mr Joe White Ave, Ste 101Myrtle Beach, SC 29577-5658(843) 663-8000Fax: (843) 839-2052Mon - Fri 8:30 to 5:30 PCMH: No

Moore, Janice APRN Provider ID: 1243627Gender: FemaleLittle River Medical Center Inc3817 Main StLoris, SC 29569-3017(843) 663-8000Fax: (843) 663-8100Mon - Fri 8:30 to 5:30 PCMH: No

Moore, Janice APRN Provider ID: 1243629Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30 PCMH: No


Bergeron, Shawn LCSW Provider ID: 901229Gender: MaleBergeron Counseling Services1107 48th Ave N, Ste 114Myrtle Beach, SC 29577-5980(843) 318-6619Fax: (843) 215-6329Mon - Fri 9:00 to 5:00 PCMH: No



37719585

Allied Providers

Horry

Licensed Clinical Social Worker -

cont.

Bovey, Diantha LSW Provider ID: 2148081Gender: FemaleCoastal Haven Counseling LLC220 Ronnie Ct, Ste 2Myrtle Beach, SC 29579-4192(843) 945-0346Fax: (843) 432-3091Mon - Fri 9:00 to 10:00 Sat - Sun 9:00 to 5:00 PCMH: No

Bovey, Diantha LSW Provider ID: 2148081Gender: FemaleCoastal Haven Counseling LLC3100 Dick Pond Rd, Ste D2Myrtle Beach, SC 29588-7286(843) 945-0346Fax: (834) 343-2309Mon - Thu 9:00 to 10:00 Fri 9:0 to to 00:0 Sat - Sun 9:00 to 5:00 PCMH: No

Bush, Crystal CSW Provider ID: 1839664Gender: FemaleLittle River Medical Center Inc3817 Main StLoris, SC 29569-3017(843) 663-8000Fax: (843) 756-6828Mon - Tue 8:00 to 7:00 Wed 8:00 to 70:0 Thu 8:30 to 9:00 Fri 8:30 to 5:30 PCMH: No

Bush, Crystal CSW Provider ID: 1839664Gender: FemaleLittle River Medical Center Inc4220 Carolina Exchange DrMyrtle Beach, SC 29579-4220(843) 663-8000Mon - Fri 8:00 to 7:00 PCMH: No

Bush, Crystal CSW Provider ID: 1839664Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon, Wed 8:00 to 7:00 Tue, Thu - Fri 8:00 to 6:00 PCMH: No

Bush, Crystal CSW Provider ID: 1839664Gender: FemaleLittle River Medical Center Inc7724 N Kings HwyMyrtle Beach, SC 29572-3041(843) 663-8000Fax: (843) 663-8256Mon - Fri 8:30 to 5:30 PCMH: No

Fenner, Lynda LCSW Provider ID: 1434920Gender: FemalePivotal Solutions LLC800 Legion StConway, SC 29526(843) 236-1157Fax: (844) 599-6538Mon - Fri 9:00 to 5:00 PCMH: No

Jackson, Debbie CSW Provider ID: 2348403Gender: FemaleCoastal Haven Counseling LLC220 Ronnie Ct, Ste 2Myrtle Beach, SC 29579-4192(843) 945-0346Fax: (843) 432-3091Mon - Fri 8:00 to 10:00 Sat 8:00 to 7:00 Sun 9:00 to 5:00 PCMH: No

Kelly, Kathleen CSW Provider ID: 2324171Gender: FemaleSandhills Intergrated Care Inc.3993 Meeting StLoris, SC 29569-3053(843) 756-3008Fax: (843) 756-3128Mon - Fri 8:00 to 5:00 PCMH: No

Lewis, Kellie CSW Provider ID: 1174516Gender: FemaleReal Counseling LLC621 Sea Mountain HwyNorth Myrtle Beach, SC 29582(843) 273-0077Fax: (843) 273-0075Mon - Fri 9:00 to 5:00 PCMH: No

Lewis, Kellie CSW Provider ID: 1174516Gender: FemaleReal Counseling LLC9403 Highway 707, Ste BMyrtle Beach, SC 29588(843) 273-0077Fax: (843) 273-0075Mon - Thu 9:00 to 4:00 Fri 9:00 to 2:00 Sat 9:00 to 12:00 PCMH: No

Lyons, Ruth LCSW Provider ID: 1281818Gender: FemaleMissing Link Counseling1297 Professional Dr, Ste 101bMyrtle Beach, SC 29577(843) 232-7550Fax: (843) 712-1425Mon - Wed 8:00 to 6:00 Thu 8:00 to 7:00 Fri 8:00 to 5:00 PCMH: No



37719585

Allied Providers

Horry


cont.

Mcfarland, Lindsey CSW Provider ID: 2348400Gender: FemaleCoastal Haven Counseling LLC220 Ronnie Ct, Ste 2Myrtle Beach, SC 29579-4192(843) 945-0346Fax: (843) 432-3091Mon - Fri 8:00 to 10:00 Sat 8:00 to 5:00 Sun 9:00 to 3:00 PCMH: No

Nelsen, Cara LCSW Provider ID: 1186600Gender: FemaleReal Counseling LLC9403 Highway 707, Ste BMyrtle Beach, SC 29588(843) 273-0077Fax: (843) 273-0075Mon - Sat 8:00 to 8:00 PCMH: No

Nelsen, Cara LCSW Provider ID: 1186600Gender: FemaleReal Counseling LLC621 Sea Mountain HwyNorth Myrtle Beach, SC 29582(843) 273-0077Fax: (843) 273-0075Mon - Sat 8:00 to 8:00 PCMH: No

Nelson, Lindsey CSW Provider ID: 2045890Gender: FemaleLittle River Medical Center Inc3236 Holmestown Rd, Unit E1Myrtle Beach, SC 29588-7495(843) 663-8000Fax: (843) 663-8123Mon - Thu 8:30 to 5:30 Fri 8:30 to 5:00 PCMH: No

Nelson, Lindsey CSW Provider ID: 2045890Gender: FemaleLittle River Medical Center Inc3817 Main StLoris, SC 29569-3017(843) 663-8000Mon - Thu 8:30 to 5:30 Fri 8:30 to 5:00 PCMH: No

Nelson, Lindsey CSW Provider ID: 2045890Gender: FemaleLittle River Medical Center Inc4220 Carolina Exchange DrMyrtle Beach, SC 29579-4220(843) 663-8000Mon - Thu 8:30 to 5:30 Fri 8:30 to 5:00 PCMH: No

Nelson, Lindsey CSW Provider ID: 2045890Gender: FemaleLittle River Medical Center Inc7724 N Kings HwyMyrtle Beach, SC 29572-3041(843) 663-8000Mon - Thu 8:30 to 5:30 Fri 8:30 to 5:00 PCMH: No

Nelson, Lindsey CSW Provider ID: 2045890Gender: FemaleLittle Rivers Medical Center4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Mon - Thu 8:30 to 5:30 Fri 8:30 to 5:00 PCMH: No

Nixon, Bevin CSW Provider ID: 2119830Gender: FemaleCounseling Center Of Sayebrook106 Lansford Pl, Ste 202Myrtle Beach, SC 29588-6979(843) 213-2659Fax: (843) 213-6231Mon - Thu 8:00 to 6:00 Fri 8:00 to 2:00 PCMH: No

Norman, Mary CSW Provider ID: 1281106Gender: FemaleReal Counseling LLC621 Sea Mountain HwyNorth Myrtle Beach, SC 29582(843) 273-0077Fax: (843) 273-0075Mon - Fri 9:00 to 6:00 PCMH: No

Norman, Mary CSW Provider ID: 1281106Gender: FemaleReal Counseling LLC9403 Highway 707, Ste BMyrtle Beach, SC 29588(843) 273-0077Fax: (843) 273-0075Mon - Thu 8:00 to 5:00 Fri 8:00 to 4:00 PCMH: No

Payne, Tricia CSW Provider ID: 1243325Gender: FemaleLittle River Medical Center Inc1075 Mr Joe White AveMyrtle Beach, SC 29577-5658(843) 663-8000Fax: (843) 839-2052Mon - Fri 8:00 to 5:00 PCMH: No



37719585

Allied Providers

Horry


cont.

Payne, Tricia CSW Provider ID: 1243325Gender: FemaleLittle River Medical Center Inc3236 Holmestown RdMyrtle Beach, SC 29569-3017(843) 663-8000Fax: (843) 663-8092Mon - Fri 8:00 to 5:00 PCMH: No

Payne, Tricia CSW Provider ID: 1243325Gender: FemaleLittle River Medical Center Inc3817 Main StLoris, SC 29569-3017(843) 663-8000Fax: (843) 756-6828Mon - Fri 8:00 to 5:00 PCMH: No

Payne, Tricia CSW Provider ID: 1243325Gender: FemaleLittle River Medical Center Inc4220 Carolina Exchange Dr, Suite 101Myrtle Beach, SC 28579(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:00 to 5:00 PCMH: No

Payne, Tricia CSW Provider ID: 1243325Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:00 to 5:00 PCMH: No

Payne, Tricia CSW Provider ID: 1243325Gender: FemaleLittle River Medical Center Inc7724 N Kings HwyMyrtle Beach, SC 29572-3041(843) 663-8000Fax: (843) 663-8258Mon - Fri 8:00 to 5:00 PCMH: No

Robinette, Lester CSW Provider ID: 2119804Gender: MaleCoastal Haven Counseling LLC220 Ronnie Ct, Ste 2Myrtle Beach, SC 29579-4192(843) 945-0346Fax: (843) 432-3091Mon - Thu 9:00 to 7:00 Fri 9:00 to 1:00 Sat 9:00 to 5:00 PCMH: No

Rollings, Jan LCSW Provider ID: 1530927Gender: FemaleLittle River Medical Center3817 Main StLoris, SC 29569-3017(843) 663-8000Fax: (843) 663-8113Mon - Fri 8:30 to 5:30 PCMH: No

Rollings, Jan LCSW Provider ID: 1530927Gender: FemaleLittle River Medical Center Inc1075 Mr Joe White Ave, Unit 101Myrtle Beach, SC 29577-5658(843) 663-8000Fax: (843) 663-8113Mon - Fri 8:30 to 5:30 PCMH: No

Rollings, Jan LCSW Provider ID: 1530927Gender: FemaleLittle River Medical Center Inc3236 Holmestown Rd, Unit E1Myrtle Beach, SC 29588-7495(843) 663-8000Fax: (843) 663-8113Mon - Fri 8:30 to 5:30 PCMH: No

Rollings, Jan LCSW Provider ID: 1530927Gender: FemaleLittle River Medical Center Inc4220 Carolina Exchange DrMyrtle Beach, SC 29579(843) 663-8000Fax: (843) 663-8113Mon - Fri 8:30 to 5:30 PCMH: No

Rollings, Jan LCSW Provider ID: 1530927Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8166Mon - Fri 8:30 to 5:30 PCMH: No

Rollings, Jan LCSW Provider ID: 1530927Gender: FemaleLittle River Medical Center Inc7724 N Kings HwyMyrtle Beach, SC 29572(843) 663-8000Fax: (843) 663-8113Mon - Fri 8:30 to 5:30 PCMH: No

Roman, John LCSW Provider ID: 1274088Gender: MaleRoman Clinical Consulting LLC917 Broadway St, Ste 3Myrtle Beach, SC 29577-3718(843) 582-7887Fax: (843) 800-0061Mon - Fri 9:00 to 8:00 PCMH: No



37719585

Allied Providers

Horry


cont.

Thompson, Donna LCSW Provider ID: 1118250Gender: FemaleLittle River Medical Center Inc1075 Mr Joe White Ave, Ste 101Myrtle Beach, SC 29577-5658(843) 663-8000Fax: (843) 839-2052Mon - Fri 8:30 to 5:30 PCMH: No

Thompson, Donna LCSW Provider ID: 1118250Gender: FemaleLittle River Medical Center Inc3236 Holmestown Rd, Ste E1Loris, SC 29569(843) 663-8000Fax: (843) 663-8092Mon - Fri 8:30 to 5:30 PCMH: No

Thompson, Donna LCSW Provider ID: 1118250Gender: FemaleLittle River Medical Center Inc3817 Main StLoris, SC 29569-3017(843) 663-8000Fax: (843) 756-6828Mon - Fri 8:30 to 5:30 PCMH: No

Thompson, Donna LCSW Provider ID: 1118250Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30 PCMH: No




Elliott, Alexis LSW Provider ID: 2137276Gender: FemaleHealth Cate Partners Of South Carol1608 Main StConway, SC 29526-3572(843) 488-6030Fax: (877) 322-0181Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No

Licensed Marriage And Family

Therapist

Beres, Danielle LMFT Provider ID: 1821040Gender: FemaleSandhills Intergrated Care Inc3993 Meeting StLoris, SC 29569-3053(336) 253-5286Mon - Fri 8:30 to 7:00 PCMH: No

Carter, Robert LMFT Provider ID: 1271024Gender: MaleThe Center For Counseling And Welln4466 Holmestown RdMyrtle Beach, SC 29588-7490(843) 663-0770Fax: (843) 663-0772Mon - Fri 9:00 to 7:00 PCMH: No

Carter, Robert LMFT Provider ID: 1271024Gender: MaleThe Center For Counseling And Welln110 Ye Olde Kings HwyNorth Myrtle Beach, SC 29582(843) 663-0770Fax: (843) 663-0772Mon - Fri 8:30 to 6:00 PCMH: No

Carter, Robert LMFT Provider ID: 1271024Gender: MaleThe Center For Counseling And Welln3505 Main StLoris, SC 29569-2931(843) 663-0770Fax: (843) 663-0772Mon - Fri 9:00 to 7:00 PCMH: No


Anderson, Jill LPC Provider ID: 1565166Gender: FemaleCoastal Haven Counseling LLC220 Ronnie Ct, Ste 2Myrtle Beach, SC 29579-4192(843) 945-0346Fax: (843) 432-3091Mon - Tue, Fri 9:00 to 7:00 Wed 9:00 to 9:00 Thu 9:00 to 5:00 Sat 10:00 to 3:00 PCMH: No



37719585

Allied Providers

Horry


cont.

Anderson, Jill LPC Provider ID: 1565166Gender: FemaleCoastal Haven Counseling LLC3100 Dick Pond Rd, Ste D2Myrtle Beach, SC 29588-7286(843) 945-0346Fax: (843) 432-3091Mon - Tue, Fri 9:00 to 7:00 Wed 9:00 to 9:00 Thu 9:00 to 5:00 Sat 10:00 to 3:00 PCMH: No

Bidell, Jill LPC Provider ID: 2227365Gender: FemaleCaren Stewart And Associates LLC800 Legion St, Ste 101dConway, SC 29526-4825(704) 460-2317Fax: (843) 962-5277Mon - Tue, Thu 9:00 to 5:00 PCMH: No

Bogle, Roberta LPC Provider ID: 915727Gender: FemaleThe Center For Counseling And Welln110 Ye Olde Kings HwyNorth Myrtle Beach, SC 29582-4384(843) 663-0770Fax: (843) 663-0772Mon - Thu 9:00 to 7:00 Fri 9:00 to 2:00 PCMH: No

Bogle, Roberta LPC Provider ID: 915727Gender: FemaleThe Center For Counseling And Welln3505 Main StLoris, SC 29569-2931(843) 663-0770Fax: (843) 663-0772Mon - Fri 9:00 to 7:00 PCMH: No

Bogle, Roberta LPC Provider ID: 915727Gender: FemaleThe Center For Counseling And Welln4466 Holmestown RdMyrtle Beach, SC 29588-7490(843) 663-0770Fax: (843) 663-0772Mon - Fri 9:00 to 7:00 PCMH: No

Brown, Catherine LPC Provider ID: 969275Gender: FemaleCatherine M Brown/More Than Conque1604 Main St, Unit AConway, SC 29526-3572(843) 488-1877Fax: (843) 488-1887Mon - Thu 9:00 to 5:00 Fri 9:00 to 2:00 PCMH: No

Bulsza, Susan LPC Provider ID: 901778Gender: Female2513 N Oak St, Ste 208Myrtle Beach, SC 29577-3250(843) 333-6767Fax: (843) 903-5053Mon 9:00 to 1:00 Tue - Thu 9:00 to 6:00 Fri 1:00 to 5:00 PCMH: No

Burgess, Gloria LPC Provider ID: 1712835Gender: FemalePivotal Solutions400 George Bishop PkwyMyrtle Beach, SC 29579(843) 236-1157Fax: (844) 599-6538Mon - Fri 9:00 to 5:00 PCMH: No

Calhoun, Howard LPC Provider ID: 1306894Gender: MaleBehavior Balance586 Highway 701 N, Suite ALoris, SC 29569(843) 756-7171Fax: (843) 756-7176Mon - Fri 9:00 to 5:00 PCMH: No

Campbell, Thomas LPC Provider ID: 1326346Gender: MaleReal Counseling LLC621 Sea Mountain HwyNorth Myrtle Beach, SC 29582(843) 273-0077Fax: (843) 273-0075Mon - Fri 9:00 to 6:00 Sat 9:00 to 12:00 PCMH: No

Campbell, Thomas LPC Provider ID: 1326346Gender: MaleReal Counseling LLC9403 Highway 707, Ste BMyrtle Beach, SC 29588(843) 273-0077Fax: (843) 273-0075Mon - Fri 9:00 to 6:00 Sat 9:00 to 12:00 PCMH: No

Cantley, Amy LMHC Provider ID: 919633Gender: FemaleA Piece Of Mind Counseling And Cons3944 Highway 17, Unit 7Murrells Inlet, SC 29576-5094(843) 318-0380Fax: (843) 947-0812Mon - Fri 8:00 to 9:00 Sat - Sun 8:00 to 6:00 PCMH: No



37719585

Allied Providers

Horry


cont.

Cox, Demeatra LPC Provider ID: 1564008Gender: FemalePivotal Solutions LLC400 George Bishop PkwyMyrtle Beach, SC 29579(843) 236-1157Fax: (844) 599-6538Mon - Fri 9:00 to 5:00 PCMH: No

Davis, Nancy LPC Provider ID: 1177477Gender: FemaleReal Counseling LLC621 Sea Mountain HwyNorth Myrtle Beach, SC 29582(843) 273-0077Fax: (843) 273-0075Mon - Sat 8:00 to 8:00 PCMH: No

Davis, Nancy LPC Provider ID: 1177477Gender: FemaleReal Counseling LLC9403 Highway 707, Ste BMyrtle Beach, SC 29588(843) 273-0077Fax: (843) 273-0075Mon - Sat 8:00 to 8:00 PCMH: No

Dennis, Brandi LPC Provider ID: 2104363Gender: FemaleCarolina Pediatric Counseling600 N Azalea Dr, Ste 103Surfside Beach, SC 29575-5020(843) 468-1850Fax: (843) 407-4265Mon - Sat 8:00 to 6:00 PCMH: No

Everhart Lachnicht, Ashley LPC

Provider ID: 1175266Gender: FemaleReal Counseling LLC621 Sea Mountain HwyNorth Myrtle Beach, SC 29582(843) 273-0077Fax: (843) 273-0075Mon - Tue, Thu - Fri 9:00 to 5:00 Wed 9:00 to 7:00 Sat 9:00 to 12:00 PCMH: No

Everhart Lachnicht, Ashley LPC

Provider ID: 1175266Gender: FemaleReal Counseling LLC9403 Highway 707, Ste BMyrtle Beach, SC 29588(843) 273-0077Fax: (843) 273-0075Mon - Tue, Thu - Fri 9:00 to 5:00 Wed 9:00 to 7:00 Sat 9:00 to 12:00 PCMH: No

Fleming, Stephanie LPC Provider ID: 1009868Gender: FemaleRivertown Counseling Associates LLC607 Main StConway, SC 29526-4339(843) 488-1877Fax: (843) 488-1887Mon 8:00 to 5:00 Tue, Thu 9:00 to 5:00 Wed 9:00 to 12:00 PCMH: No

Fortune, Jane LPC Provider ID: 1032297Gender: FemaleJane Fortune Counseling LLC4999 Carolna Frst Blvd, Ste 22cMyrtle Beach, SC 29579-3588(843) 268-4980Fax: (888) 727-1946Mon 9:00 to 1:00 Wed 1:00 to 6:00 Thu 10:00 to 6:00 Fri 10:00 to 3:00 PCMH: No

Frasier, Colisha LPC Provider ID: 1040037Gender: FemaleMccarthy Counseling Associates Pa4603 Oleander Dr, Ste 1Myrtle Beach, SC 29577-5738(843) 497-5240Fax: (843) 497-1129Mon - Thu 8:00 to 6:00 Fri 8:00 to 2:00 PCMH: No

Goodall, Kristina LPC Provider ID: 1861887Gender: FemaleSurfside Counseling LLC1500 Highway 17 Business, Ste 104Surfside Beach, SC 29575(843) 333-8624Fax: (888) 274-0122Mon - Fri 10:00 to 8:00 Sat 9:00 to 12:00 PCMH: No

Goyeneche, Paola LPC Provider ID: 1722042Gender: FemaleCoastal Haven Counseling LLC220 Ronnie Ct, Ste 2Myrtle Beach, SC 29579-4192(843) 945-0346Fax: (843) 432-3091Mon, Wed, Fri 9:00 to 5:00 Tue, Thu 9:00 to 7:00 Sat 10:00 to 3:00 PCMH: No



37719585

Allied Providers

Horry


cont.

Harper, Phillip LPC Provider ID: 1605042Gender: MaleCenter For Counseling And Wellness110 Ye Olde Kings HwyNorth Myrtle Beach, SC 29582(843) 663-0770Fax: (843) 663-0772Mon - Fri 8:00 to 6:00 PCMH: No

Harper, Phillip LPC Provider ID: 1605042Gender: MaleThe Center For Counseling And Welln3505 Main StLoris, SC 29569-2931(843) 663-0770Fax: (843) 663-0772Mon - Fri 9:00 to 7:00 PCMH: No

Harper, Phillip LPC Provider ID: 1605042Gender: MaleThe Center For Counseling And Welln4466 Holmestown RdMyrtle Beach, SC 29588-7490(843) 663-0770Fax: (843) 663-0772Mon - Fri 9:00 to 7:00 PCMH: No

Harrington, Teressa LPC Provider ID: 813368Gender: FemaleTth Services Inc3959 Hwy 17, Ste AMurrells Inlet, SC 29576-5014(843) 325-6410Fax: (888) 455-1889Mon - Fri 8:00 to 6:00 PCMH: No

John Deloaceh Provider ID: 927204Christian Counseling Clinic LLC3959 Highway 17Murrells Inlet, SC 29576-5014(843) 299-0509Fax: (843) 299-0510Mon - Fri 9:00 to 8:00 PCMH: No

King, Ellen LPC Provider ID: 1238294Gender: FemaleTlc Counseling LLC289 Highway 90 E, Unit HLittle River, SC 29566(843) 685-0998Mon - Fri 10:00 to 7:00 PCMH: No

Long, Shannon LPC Provider ID: 1444009Gender: FemaleWaves Of Change Counseling Services2022 Laurel Oak CtMyrtle Beach, SC 29579(843) 333-2416Fax: (843) 443-4229Mon - Fri 9:00 to 5:00 PCMH: No

Lookadoo, Brian LPC Provider ID: 1344704Gender: MaleReal Counseling LLC9403 Highway 707, Ste BMyrtle Beach, SC 29588-7758(843) 273-0077Fax: (843) 273-0075Mon - Fri 9:00 to 6:00 Sat 9:00 to 12:00 PCMH: No

Lookadoo, Brian LPC Provider ID: 1862698Gender: MaleSurfside Counseling1500 N Hwy 17 Business, Ste 104Surfside Beach, SC 29575(843) 333-8624Fax: (888) 274-0122Mon - Fri 9:00 to 7:00 Sat 9:00 to 12:00 PCMH: No

Lynch, Bruce LPC Provider ID: 1059064Gender: MaleThe Center For Counseling And Welln110 Ye Olde Kings HwyNorth Myrtle Beach, SC 29582-4384(843) 663-0770Fax: (843) 663-0772Mon - Fri 8:00 to 8:00 PCMH: No

Lynch, Bruce LPC Provider ID: 1059064Gender: MaleThe Center For Counseling And Welln3505 Main StLoris, SC 29569-2931(843) 663-0770Mon - Fri 9:00 to 7:00 PCMH: No

Lynch, Bruce LPC Provider ID: 1059064Gender: MaleThe Center For Counseling And Welln4466 Holmestown RdMyrtle Beach, SC 29588-7490(843) 663-0770Mon - Fri 9:00 to 7:00 PCMH: No



37719585

Allied Providers

Horry


cont.

Malkasian, Paul LPC Provider ID: 1630695Gender: MaleCtr Counseling1261 Highway 501e, Ste FConway, SC 29526-8362(508) 254-0066Fax: (866) 220-0907Mon - Fri 8:00 to 5:00 PCMH: No

Malkasian, Paul LPC Provider ID: 1630695Gender: MaleCtr Counseling5182 Horry Dr, Ste AMurrells Inlet, SC 29576-5240(843) 353-7388Fax: (508) 796-2420Mon - Tue, Thu 10:00 to 9:00 Wed 12:00 to 8:00 Fri 10:00 to 5:00 PCMH: No

Malkasian, Loren LPC Provider ID: 1838310Gender: FemaleCtr Counseling1261 E Highway 501, Ste FConway, SC 29526-8362(508) 254-0066Fax: (866) 220-0907Mon - Thu 10:00 to 9:00 Fri 9:00 to 8:00 PCMH: No

Martin, Laura LPC Provider ID: 1520169Gender: FemaleThe Center For Counseling And Welln110 Ye Olde Kings HwyNorth Myrtle Beach, SC 29582(843) 663-0770Fax: (843) 663-0772Mon - Thu 8:00 to 6:00 Fri 8:00 to 3:00 PCMH: No

Martin, Laura LPC Provider ID: 1520169Gender: FemaleThe Center For Counseling And Welln3505 Main StLoris, SC 29569-2931(843) 663-0770Mon - Fri 9:00 to 7:00 PCMH: No

Martin, Laura LPC Provider ID: 1520169Gender: FemaleThe Center For Counseling And Welln4466 Holmestown RdMyrtle Beach, SC 29588-7490(843) 663-0770Fax: (843) 663-0772Mon - Fri 9:00 to 7:00 PCMH: No

Mccarthy, Robert LPC Provider ID: 1033981Gender: MaleMccarthy Counseling Associates Pa4603 Oleander Dr, Ste 1 And 2Myrtle Beach, SC 29577-5738(843) 497-5240Fax: (843) 497-1129Mon - Fri 8:00 to 6:00 PCMH: No

Mcgonigal, Jennifer LPC Provider ID: 1599187Gender: FemaleCoastal Haven Counseling220 Ronnie Ct, Ste 2Myrtle Beach, SC 29579(803) 896-4658Fax: (843) 432-3091Mon, Wed 9:00 to 5:00 Tue, Thu - Fri 9:00 to 7:00 Sat 10:00 to 3:00 PCMH: No

Mcgonigal, Jennifer LPC Provider ID: 1599187Gender: FemaleCoastal Haven Counseling3100 Dick Pond Rd, Ste D2Myrtle Beach, SC 29588(843) 945-0346Fax: (843) 432-3091Mon, Wed, Fri 9:00 to 5:00 Tue, Thu 9:00 to 7:00 Sat 10:00 to 3:00 PCMH: No

Mercer, Amanda LPC Provider ID: 2069405Gender: FemaleThe Counseling Center Of Sayebrook106 Lansford Pl, Ste 202Myrtle Beach, SC 29588-6979(843) 213-2659Fax: (843) 213-6231Mon - Thu 8:00 to 6:00 Fri 8:00 to 12:00 PCMH: No

Onley Livingston, Angel LPC Provider ID: 1340730Gender: FemaleHouse Of Abba LLC620 Singleton Ridge Rd, Ste 101Conway, SC 29526(843) 353-6216Fax: (843) 349-0140Mon - Wed 9:00 to 6:00 Fri 9:00 to 12:00 PCMH: No

Partridge, Heather LPC Provider ID: 1515282Gender: FemaleTidelands Health Family Medicine4320 Holmestown RdMyrtle Beach, SC 29588(843) 652-8440Fax: (843) 652-8441Mon - Fri 8:00 to 5:00 PCMH: No



37719585

Allied Providers

Horry


cont.

Pickett, Michael LPC Provider ID: 1651246Gender: MaleCoastal Haven Counseling220 Ronnie Ct, Ste 2Myrtle Beach, SC 29579-4192(843) 945-0346Fax: (843) 432-3091Mon, Wed 9:00 to 5:00 Tue, Thu 9:00 to 7:00 Fri 10:00 to 3:00 PCMH: No

Pickett, Michael LPC Provider ID: 1651246Gender: MaleCoastal Haven Counseling LLC3100 Dick Pond Rd, Ste D2Myrtle Beach, SC 29588-7286(843) 945-0346Fax: (843) 432-3091Mon, Wed, Fri 9:00 to 5:00 Tue, Thu 9:00 to 7:00 Sat 10:00 to 3:00 PCMH: No

Stewart, Caren LPC Provider ID: 2227479Gender: FemaleCaren Stewart & Associates PLLC800 Legion St, Ste 101dConway, SC 29526-4825(704) 460-2317Fax: (843) 962-5277Mon 5:00 to 5:00 Tue - Thu 9:00 to 5:00 Fri 8:30 to 5:00 Sun 9:00 to 4:00 PCMH: No

Stutler, Tammy LPC Provider ID: 1500970Gender: FemaleReal Counseling LLC9403 Hwy 707, Ste BMyrtle Beach, SC 29588(843) 273-0077Fax: (843) 273-0075Mon - Fri 9:00 to 6:00 Sat 9:00 to 1:00 PCMH: No

Stutler, Tammy LPC Provider ID: 1780626Gender: FemaleCoastal Haven Counseling LLC220 Ronnie Ct, Ste 2Myrtle Beach, SC 29579-4192(843) 945-0346Fax: (843) 432-3091Mon - Fri 9:00 to 5:00 PCMH: No

Teague, Allen LPC Provider ID: 774912Gender: MaleLittle River Medical Center1075 Mr Joe White Ave, Ste 101Myrtle Beach, SC 29577-5657(843) 663-1013Fax: (843) 663-1018Mon - Fri 8:30 to 5:30 PCMH: No

Underwood, Timothy LPC Provider ID: 1021934Gender: MaleTimothy Underwood1511 9th Ave, Ste CConway, SC 29526-4126(843) 488-1894Fax: (843) 491-4023Mon - Fri 8:00 to 5:00 PCMH: No

Unger, Patricia LPC Provider ID: 1432733Gender: FemaleTth Services3959 Hw 17Murrells Inlet, SC 29576(843) 299-0509Fax: (843) 299-0510Mon - Thu 9:00 to 8:00 Fri 9:00 to 5:00 PCMH: No

Ward, Mary LPC Provider ID: 1445506Gender: FemaleLittle River Medical Center Inc1075 Mr Joe White Ave, Unit 101Myrtle Beach, SC 29577-5658(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30 PCMH: No

Ward, Mary LPC Provider ID: 1445506Gender: FemaleLittle River Medical Center Inc3236 Holmestown Rd, Unit E1Myrtle Beach, SC 29588-7495(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30 PCMH: No

Ward, Mary LPC Provider ID: 1445506Gender: FemaleLittle River Medical Center Inc3817 Main StLoris, SC 29569-3017(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30 PCMH: No

Ward, Mary LPC Provider ID: 1445506Gender: FemaleLittle River Medical Center Inc4220 Carolina Exchange DrMyrtle Beach, SC 29579-4220(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30 PCMH: No

Ward, Mary LPC Provider ID: 1445506Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon - Fri 9:00 to 5:00 PCMH: No



37719585

Allied Providers

Horry


cont.



Whitman, Gretchen LPC Provider ID: 2104444Gender: FemaleCarolina Pediatric Counseling600 N Azalea Dr, Ste 103Surfside Beach, SC 29575-5020(843) 468-1850Fax: (843) 407-4265Mon - Sat 8:00 to 6:00 PCMH: No

Wilkinson, Laura LPC Provider ID: 1241392Gender: FemaleReal Counseling LLC6215 South Carolina Hwy 707Myrtle Beach, SC 29588(843) 273-0077PCMH: No


Mannain, Taanya LSW Provider ID: 1244389Gender: FemaleLittle River Medical Center Inc1075 Mr Joe White Ave, Ste 101Myrtle Beach, SC 29577-5658(843) 663-8000Fax: (843) 839-2052Mon - Fri 8:30 to 5:30 PCMH: No

Mannain, Taanya LSW Provider ID: 1244389Gender: FemaleLittle River Medical Center Inc3236 Holmestown RdMyrtle Beach, SC 29588(843) 663-8000Fax: (843) 663-8092Mon - Fri 8:30 to 5:30 PCMH: No

Mannain, Taanya LSW Provider ID: 1244389Gender: FemaleLittle River Medical Center Inc3817 Main StLoris, SC 29569-3017(843) 663-8000Fax: (843) 756-6828Mon - Fri 8:30 to 5:30 PCMH: No

Mannain, Taanya LSW Provider ID: 1244389Gender: FemaleLittle River Medical Center Inc4220 Carolina Exchange DrMyrtle Beach, SC 29579(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30 PCMH: No

Mannain, Taanya LSW Provider ID: 1244389Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:00 PCMH: No



Neurology

Sheth, Rasesh PA Provider ID: 1281822Gender: MaleGrand Strand Specialty Associates849 82nd PkwyMyrtle Beach, SC 29572(843) 497-6348Fax: (843) 497-6351Mon - Thu 8:00 to 5:00 Fri 8:00 to 3:00 PCMH: No



37719585

Allied Providers

Horry

Neurosurgery

Denittis, Felicia PA Provider ID: 1269923Gender: FemaleGrand Strand Specialty Associates L849 82nd PkwyMyrtle Beach, SC 29572(843) 449-2336Fax: (843) 497-6351Mon - Thu 8:00 to 5:00 Fri 8:00 to 3:00 PCMH: No

Mczeke, Kathryn APRN Provider ID: 1334457Gender: FemaleGrand Strand Specialty Associates849 82nd PkwyMyrtle Beach, SC 29572(843) 497-6348Fax: (849) 497-0625Mon - Fri 8:00 to 5:00 PCMH: No

Nurse Practitioner

Aiken, Sheryl APRN Provider ID: 1522548Gender: FemaleGeorgetown Physician Associates LLC4301 Dick Pond RdMyrtle Beach, SC 29588-6807(843) 235-3131Mon - Fri 9:00 to 5:00 PCMH: No

Albury, Vanessa APRN Provider ID: 2294919Gender: FemaleAtlantic Urology Clinics LLC101 Mcleod Health Blvd, Ste 202Myrtle Beach, SC 29579-4477(843) 236-4949Fax: (843) 239-4746Mon - Fri 8:00 to 5:00 PCMH: No

Albury, Vanessa APRN Provider ID: 2294919Gender: FemaleAtlantic Urology Clinics LLC3600 Sea Mountain Hwy, Ste BLittle River, SC 29566-8161(843) 399-9696Fax: (843) 399-9596Mon - Fri 8:00 to 5:00 PCMH: No

Albury, Vanessa APRN Provider ID: 2294919Gender: FemaleAtlantic Urology Clinics LLC3600 Sea Mountain Hwy, Ste DLittle River, SC 29566-8161(843) 390-8521Fax: (843) 399-8932Mon - Fri 8:00 to 5:00 PCMH: No

Albury, Vanessa APRN Provider ID: 2294919Gender: FemaleAtlantic Urology Clinics LLC3617 Casey St, Ste BLoris, SC 29569-2981(843) 756-6319Fax: (843) 756-5206Mon - Fri 8:00 to 5:00 PCMH: No

Alley, Ashley APRN Provider ID: 2224305Gender: FemaleGrand Strand Surgical Specialists849 82nd PkwyMyrtle Beach, SC 29572-4614(843) 497-6348Fax: (843) 497-6351Mon - Fri 8:30 to 5:00 PCMH: No

Asher, Karyn ARNP Provider ID: 2166674Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:00 to 5:00 PCMH: No

Barnett, Andrietta APRN Provider ID: 2324177Gender: FemaleSandhills Intergrated Care Inc.3993 Meeting StLoris, SC 29569-3053(843) 756-3008Fax: (843) 756-3128Mon - Fri 9:00 to 5:00 PCMH: No

Batten, Ashley APRN Provider ID: 2318890Gender: FemaleMcleod Health Loris Seacoast3655 Mitchell StLoris, SC 29569-2827(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Bell, Virginia APRN Provider ID: 2189747Gender: FemalePalmetto Primary Care Physicians912 Inlet Square DrMurrells Inlt, SC 29576-7812(843) 651-4111Fax: (843) 492-4666Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Brinegar, Angela APRN Provider ID: 1977113Gender: FemaleAssociated Medical Specialists Pa D8121 Rourk StMyrtle Beach, SC 29572-4128(843) 692-5000Fax: (843) 692-5010Mon - Thu 7:30 to 5:00 Fri 7:30 to 3:00 Sat - Sun 8:00 to 12:00 PCMH: No



37719585

Allied Providers

Horry


Brown, Rhonda CNP Provider ID: 1190695Gender: FemaleRoper St. Francis After Hours Care-912 Inlet Square Dr, Ste AMurrells Inlet, SC 29576-7812(843) 651-4111Fax: (843) 651-1047Mon - Fri 9:00 to 5:00 PCMH: No

Brown, Julia APRN Provider ID: 1340723Gender: FemaleSc House Calls Inc1400 Main StConway, SC 29526-3567(843) 488-0101Fax: (843) 488-3130Mon - Fri 8:00 to 5:00 PCMH: No

Brown, Kaitlyn PA Provider ID: 2322792Gender: FemaleCmc ENT808 Farrar DrConway, SC 29526(843) 347-7300Fax: (843) 347-8459Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Bruno, Tara APRN Provider ID: 2286677Gender: FemaleGrand Strand Heart Vascular Speci920 Doug White Dr, Ste 150Myrtle Beach, SC 29572-4180(843) 497-7772Fax: (843) 497-7627Mon - Fri 8:00 to 5:00 PCMH: No

Brusyanina, Svetlana APRN Provider ID: 2144349Gender: FemaleAtlantic Urology Clinics3600 Sea Mountain Hwy, Ste BLittle River, SC 29566-8161(943) 280-5151Fax: (843) 399-9596Mon - Fri 8:00 to 5:00 PCMH: No

Brusyanina, Svetlana APRN Provider ID: 2144349Gender: FemaleAtlantic Urology Clinics3600 Sea Mountain Hwy, Ste DLittle River, SC 29566-8161(843) 390-8521Fax: (843) 399-8932Mon - Fri 8:00 to 5:00 PCMH: No

Brusyanina, Svetlana APRN Provider ID: 2144349Gender: FemaleAtlantic Urology Clinics5046 Highway 17 Byp S, Ste 200Myrtle Beach, SC 29588-4503(843) 347-2450Fax: (843) 293-0448Mon - Fri 8:00 to 5:00 PCMH: No

Brusyanina, Svetlana APRN

Provider ID: 2144349Gender: FemaleAtlantic Urology Clinics823 82nd PkwyMyrtle Beach, SC 29572-4607(843) 449-1010Fax: (843) 497-6171Mon - Fri 8:00 to 5:00 PCMH: No

Buster, Linda APRN Provider ID: 769714Gender: FemaleLittle River Medical Center Inc3817 Main StLoris, SC 29569-3017(843) 663-8000Fax: (843) 756-6828Mon, Fri 8:30 to 5:30 Tue - Thu 8:00 to 5:30 PCMH: No

Buster, Linda APRN Provider ID: 769715Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8100Mon 8:30 to 7:00 Tue, Thu 8:00 to 5:30 Wed 8:00 to 7:00 Fri 8:30 to 5:30 PCMH: No

Buster, Linda APRN Provider ID: 972659Gender: FemaleLittle River Medical Center Inc3236 Holmestown Rd, Ste E1Myrtle Beach, SC 29588-7495(843) 663-8000Mon - Fri 9:00 to 5:00 PCMH: No

Collins, Andrew APRN Provider ID: 1719951Gender: MaleAgape Senior Primary Care Inc3300 4th AveConway, SC 29527(800) 491-0909Mon - Fri 8:00 to 5:00 PCMH: No



37719585

Allied Providers

Horry


Crago, Ashley APRN Provider ID: 1990195Gender: FemaleCpg Pediatrics At Carolina Forest4022 Postal Way, Ste CMyrtle Beach, SC 29579-3537(843) 903-4111Fax: (843) 903-4242Mon - Fri 8:00 to 5:00 PCMH: No

Cribb, Shannon APRN Provider ID: 2235411Gender: FemaleGrand Strand Heart Vascular Speci920 Doug White Dr, Ste 510Myrtle Beach, SC 29572-4183(843) 497-7772Fax: (843) 497-7627Mon - Fri 8:00 to 5:00 PCMH: No

Crowell, Jacqueline APRN Provider ID: 2022789Gender: FemaleGrand Strand Surgical Specialists849 82nd PkwyMyrtle Beach, SC 29572-4614(843) 497-6348Fax: (843) 497-6351Mon - Fri 8:30 to 5:00 PCMH: No

Crum, Christopher APRN Provider ID: 1847255Gender: MaleStrand Infectious Disease831 82nd PkwyMyrtle Beach, SC 29572-4607(843) 839-0135Fax: (843) 443-2333Mon - Fri 8:00 to 5:00 PCMH: No

Davis Boyd, Tara APRN Provider ID: 2222818Gender: FemaleCoastal Carolina Primary Care LLC5050 Highway 17 Byp SMyrtle Beach, SC 29588-4500(843) 839-6090Fax: (843) 839-6090Mon - Fri 8:00 to 5:00 PCMH: No

Dorr, Rachel APRN Provider ID: 2221941Gender: FemaleLiberty Doctors LLC D/B/A Carolina185 Fresh Dr, Ste AMyrtle Beach, SC 29579-4436(843) 225-8320Fax: (843) 225-3549Mon - Fri 8:00 to 8:00 Sat - Sun 8:00 to 6:00 PCMH: No

Doud-Kearns, Tina ARNP Provider ID: 767174Gender: FemaleLittle River Medical Center4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8100Mon, Wed 8:30 to 7:00 Tue, Thu - Fri 8:30 to 5:30 PCMH: No

Edwards, Erin ARNP Provider ID: 2197331Gender: FemaleMcleod Loris Seacoast Surgery3980 Highway 9 E, Ste 310Little River, SC 29566-8165(843) 399-9774Fax: (843) 399-8657Mon - Fri 8:00 to 5:00 PCMH: No

Gilmore, Pamela APRN Provider ID: 1835731Gender: FemaleAtlantic Urology Clinics LLC394 Singleton Ridge RdConway, SC 29526-9150(843) 347-8765Fax: (843) 347-3499Mon - Fri 8:00 to 5:00 PCMH: No

Griffith, Mary APRN Provider ID: 1605007Gender: FemaleSc House Calls Inc809 82nd PkwyMyrtle Beach, SC 29572-4607(843) 692-1000Fax: (843) 353-2581Mon - Fri 8:00 to 5:00 PCMH: No

Griffith, Mary APRN Provider ID: 1856225Gender: FemaleCoastal Carolina Primary Care LLC8170 Rourk St, Ste 100Myrtle Beach, SC 29572-4127(843) 236-1950Fax: (843) 236-1952Mon - Thu 8:30 to 5:00 Fri 8:30 to 4:00 PCMH: No

Hahn, Kelly APRN Provider ID: 2023177Gender: FemaleGrand Strand Surgical Specialists199 Village Center Blvd, Ste 100Myrtle Beach, SC 29579-3589(843) 497-6348Fax: (844) 861-1500Mon - Fri 8:00 to 5:00 PCMH: No



37719585

Allied Providers

Horry


Hahn, Kelly APRN Provider ID: 2023177Gender: FemaleGrand Strand Surgical Specialists849 82nd PkwyMyrtle Beach, SC 29572-4614(843) 497-6348Fax: (843) 497-6351Mon - Fri 8:30 to 5:00 PCMH: No

Harris, Sarah APRN Provider ID: 1842355Gender: FemaleHealth Care Partners Of South Carol1608 Main StConway, SC 29526-3572(843) 248-4700Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No

Haynes, Jennifer APRN Provider ID: 767495Gender: FemaleLittle River Medical Center Inc1075 Mr Joe White Ave, Ste 101Myrtle Beach, SC 29577(843) 663-8000Fax: (843) 839-1857Mon - Fri 8:30 to 5:30 PCMH: No

Haynes, Jennifer APRN Provider ID: 767496Gender: FemaleLittle River Medical Center Inc3817 Main StLoris, SC 29569(843) 663-8000Fax: (843) 756-6828Mon - Fri 8:30 to 5:30 PCMH: No

Hucks, Julia APRN Provider ID: 2013162Gender: FemaleCmc Endocrinology2376 Cypress Cir, Ste 202Conway, SC 29526-8994(843) 243-9700Fax: (843) 234-6896Mon - Thu 8:30 to 5:00 Fri 8:30 to 1:00 PCMH: No

Jordan, Ginger APRN Provider ID: 1605437Gender: FemaleSc House Calls Inc1400 Main St, Care Management Grand StrandConway, SC 29526-3567(843) 488-0101Fax: (843) 331-3979Mon - Fri 8:00 to 5:00 PCMH: No

Kuball, Lyn-Marie APRN Provider ID: 2181976Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon, Wed 8:00 to 7:00 Tue, Thu - Fri 8:00 to 5:30 PCMH: No

Kuball, Lyn-Marie APRN Provider ID: 2181986Gender: FemaleLittle River Medical Center Inc4220 Carolina Exchange DrMyrtle Beach, SC 29579-4220(843) 663-8000Mon, Wed 8:00 to 7:00 Tue, Thu - Fri 8:00 to 5:30 PCMH: No

Lang, Yolanda APRN Provider ID: 1876737Gender: FemaleCpg Family Medicine At Towne Centre5010 Carolina Forest BlvdMyrtle Beach, SC 29579-3579(843) 903-1010Fax: (843) 903-1015Mon - Thu 8:00 to 7:00 Fri 8:00 to 5:00 PCMH: No

Lukowski, Meredith ARNP Provider ID: 1834954Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30 PCMH: No

Moleins, Dawn APRN Provider ID: 2318954Gender: FemaleMcleod Health Loris Seacoast3655 Mitchell StLoris, SC 29569-2827(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Moore, Adele CNP Provider ID: 1190990Gender: FemaleRoper St. Francis Physician Partner4835 Hwy 17 N Bypass Ste BMurrells Inlet, SC 29576-5037(843) 723-8823Fax: (843) 766-6551Mon - Fri 9:00 to 5:00 PCMH: No



37719585

Allied Providers

Horry


Neal, Cynthia APRN Provider ID: 1340728Gender: FemaleGeorgetown Physician Associates LLC4301 Dick Pond RdMyrtle Beach, SC 29588-6807(843) 235-3131Fax: (843) 237-9797Mon - Fri 9:00 to 5:00 PCMH: No

Niederwerfer, Robin APRN Provider ID: 927123Gender: FemaleCmc Digestive Health2376 Cypress Cir, Ste 203Conway, SC 29526-8994(843) 347-6038Fax: (843) 347-9808Mon - Thu 9:00 to 5:00 Fri 9:00 to 1:00 PCMH: No

Norris, Sarah CNP Provider ID: 1646899Gender: FemaleMcleod Family Medicine Carolina For101 Mcleod Health Blvd, Ste 201Myrtle Beach, SC 29579-4477(843) 646-8001Fax: (843) 646-8002Mon - Fri 9:00 to 5:00 PCMH: No

Norris, Sarah CNP Provider ID: 769353Gender: FemaleMcleod Family Medicine3418 Casey StLoris, SC 29569(843) 756-7885Fax: (843) 756-7855Mon - Fri 9:00 to 5:00 PCMH: No

Patterson, Melissa APRN Provider ID: 1531815Gender: FemaleGeorgetown Physician Associates Ll4040 Highway 17, Unit 302Murrells Inlet, SC 29576-5098(843) 652-8290Fax: (843) 652-8299Mon - Fri 8:30 to 5:00 PCMH: No

Patterson, Melissa APRN Provider ID: 1531815Gender: FemaleGeorgetown Physician Associates Ll4301 Dick Pond RdMyrtle Beach, SC 29588-6807(843) 652-8290Fax: (843) 652-8299Mon - Fri 8:30 to 5:00 PCMH: No

Petkovsek, Alexander APRN Provider ID: 2025660Gender: MaleGrand Strand Surgical Specialists849 82nd PkwyMyrtle Beach, SC 29572-4614(843) 497-6348Fax: (843) 497-6351Mon - Fri 8:30 to 5:00 PCMH: No

Rogers, Lindsey ARNP Provider ID: 2082840Gender: FemaleAtlantic Urology Clinics LLC3600 Sea Mountain Hwy, Ste DLittle River, SC 29566-8161(843) 390-8521Fax: (843) 399-8932Mon - Fri 8:00 to 5:00 PCMH: No

Rogers, Lindsey ARNP Provider ID: 2082840Gender: FemaleAtlantic Urology Clinics LLC5046 Highway 17 Byp S, Ste 200Myrtle Beach, SC 29588-4503(843) 347-2450Fax: (843) 293-0448Mon - Fri 8:00 to 5:00 PCMH: No

Rogers, Lindsey ARNP Provider ID: 2082840Gender: FemaleAtlantic Urology Clinics LLC823 82nd PkwyMyrtle Beach, SC 29572-4607(843) 449-1010Fax: (843) 497-6171Mon - Fri 8:00 to 5:00 PCMH: No

Rogers, Lindsey ARNP Provider ID: 2082840Gender: FemaleAtlantic Urology Clinics LLC101 Mcleod Health Blvd, Ste 202Myrtle Beach, SC 29579-4477(843) 236-4949Fax: (843) 236-4746Mon - Fri 8:00 to 5:00 PCMH: No

Rogers, Lindsey ARNP Provider ID: 2082840Gender: FemaleAtlantic Urology Clinics LLC3600 Sea Mountain Hwy, Ste BLittle River, SC 29566-8161(843) 280-5151Fax: (843) 399-9596Mon - Fri 8:00 to 5:00 PCMH: No

Sloan, Charlotte APRN Provider ID: 1528194Gender: FemaleSc House Calls Inc1400 Main StConway, SC 29526-3567(843) 488-0101Fax: (843) 331-3979Mon - Fri 8:00 to 5:00 PCMH: No

Smith, Amy APRN Provider ID: 1324638Gender: FemaleGeorgetown Physician Associates Ll4040 Highway 17, Suite 302Murrells Inlet, SC 29576-1209(843) 652-8290Fax: (843) 652-8299Mon - Fri 8:30 to 5:00 PCMH: No



37719585

Allied Providers

Horry


Smith, Amy APRN Provider ID: 1324638Gender: FemaleGeorgetown Physician Associates Ll4301 Dick Pond RdMyrtle Beach, SC 29588-6807(843) 652-8290Fax: (843) 652-8299Mon - Fri 8:30 to 5:00 PCMH: No

Staples, Karen APRN Provider ID: 768584Gender: FemaleSouthern Medical Associates3418 Casey StLoris, SC 29569-2904(843) 756-7885Fax: (843) 756-7855Mon - Fri 9:00 to 5:00 PCMH: No

Thasitis, Jessica ARNP Provider ID: 2197111Gender: FemaleMcleod Dr. Lindaberry At Carolina F108 Finnegan CtMyrtle Beach, SC 29579-4205(843) 903-9993Fax: (843) 903-3356Mon - Fri 8:00 to 5:00 PCMH: No

Trevino, Amanda ARNP Provider ID: 2261135Gender: FemaleElite Pain Management LLC8212 Devon CtMyrtle Beach, SC 29572-4178(843) 273-0376Fax: (417) 888-0189Mon - Fri 8:00 to 5:00 PCMH: No

Wilds, Linda APRN Provider ID: 1354159Gender: FemaleHealth Care Partners Of South Carol1608 Main StConway, SC 29526(843) 248-4700Sat 8:00 to 12:00 PCMH: No

Wilson, Ryan APRN Provider ID: 2313078Gender: MaleDoctors Care Market Commons2761 Agnes LnMyrtle Beach, SC 29577-2029(843) 492-2710Fax: (843) 492-2708Mon - Sun 8:00 to 8:00 PCMH: No


Jackson, Kimberly APRN Provider ID: 1519476Gender: FemaleLowcountry Infectious Diseases128 Professional Park Dr, Unit BConway, SC 29526-9260(843) 234-8260Fax: (843) 449-1605Mon - Fri 8:00 to 4:30 PCMH: No


Ganley, Tracey APRN Provider ID: 2334499Gender: FemaleElite Pain Management8212 Devon CtMyrtle Beach, SC 29572-4178(843) 273-0376Fax: (417) 888-0189Mon - Fri 8:00 to 5:00 PCMH: No


Albury, Vanessa APRN Provider ID: 1591716Gender: FemaleElite Pain Management LLC4237 River Hills Dr, Ste 170Little River, SC 29566-6446(843) 273-0376Fax: (843) 273-4516Mon 8:30 to 5:30 Tue - Fri 8:30 to 4:30 PCMH: No

Albury, Vanessa APRN Provider ID: 1591716Gender: FemaleElite Pain Management LLC8212 Devon CtMyrtle Beach, SC 29572-4178(843) 273-0376Fax: (843) 273-4516Mon - Fri 8:30 to 5:00 PCMH: No

Amaradasa, Natali APRN Provider ID: 1736809Gender: FemaleLittle River Medical Center Inc4220 Carolina Exchange DrMyrtle Beach, SC 29579-4220(843) 663-8000Fax: (843) 663-8100Mon - Fri 8:00 to 4:00 PCMH: No

Anderson, Alicia APRN Provider ID: 1845544Gender: FemaleLiverty Doctors LLC DBA Carolina Fo185 Fresh Dr, Ste AMyrtle Beach, SC 29579-4436(843) 945-3030Fax: (843) 492-4479Mon - Fri 8:00 to 8:00 Sat - Sun 8:00 to 6:00 PCMH: No



37719585

Allied Providers

Horry


cont.

Anderson, Alicia APRN Provider ID: 1845545Gender: FemaleLiberty Doctors LLC DBA Surfside Be1945 Glenns Bay RdSurfside Beach, SC 29575-4833(843) 650-4006Fax: (843) 650-4225Mon - Fri 8:00 to 8:00 Sat - Sun 8:00 to 6:00 PCMH: No

Barnett, Andrietta APRN Provider ID: 2306209Gender: FemaleSandhills Intergrated Care Inc3993 Meeting StLoris, SC 29569-3053(843) 756-3008Fax: (843) 756-3128Mon - Fri 9:00 to 5:00 PCMH: No

Barrett, Jennifer APRN Provider ID: 2136865Gender: FemaleMcleod Cardiology Assoc Loris3485 Mitchell StLoris, SC 29569-2823(843) 756-7029Fax: (843) 756-7033Mon - Fri 8:00 to 5:00 PCMH: No

Barrett, Jennifer APRN Provider ID: 2136865Gender: FemaleMcleod Cardiology Assoc Seacoast3980 Highway 9 E, Ste 220Little River, SC 29566-8164(843) 390-0877Fax: (843) 390-0881Mon - Fri 8:00 to 5:00 PCMH: No

Belschner, Rebecca APRN Provider ID: 2188249Gender: FemaleCareteam Plus100 Professional Park DrConway, SC 29526-9260(843) 234-8260Fax: (843) 234-8224Mon, Wed 8:00 to 5:00 Tue, Thu 8:00 to 6:00 Fri 8:00 to 1:00 PCMH: No

Briggs, Jonathan ARNP Provider ID: 2322786Gender: MaleCmc Primary Care Bell Street903 Bell StreetConway, SC 29526(843) 488-2111Fax: (843) 488-2112Mon 7:30 to 5:00 Tue - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Britt, Mary APRN Provider ID: 2334457Gender: FemaleElite Pain Management8212 Devon CtMyrtle Beach, SC 29572-4178(843) 273-0376Fax: (417) 888-0189Mon - Fri 8:00 to 5:00 PCMH: No

Brown, Tisha APRN Provider ID: 1550549Gender: FemaleSeahore Pediatrics PC2828 Bayboro StLoris, SC 29569-2710(843) 716-2229Fax: (843) 716-2483Mon - Fri 8:00 to 5:00 Sat 9:00 to 12:00 PCMH: No

Brown, Rhonda APRN Provider ID: 1637790Gender: FemaleSc House Calls Inc910 Mount Gilead Rd, Ste B1Murrells Inlt, SC 29576-7790(800) 491-0909Fax: (843) 357-3102Mon - Fri 8:00 to 5:00 PCMH: No

Butbul Benezra, Vered APRN

Provider ID: 2291412Gender: FemaleLife In A Blender Family Medicine132 Pro Park Dr, Unit AConway, SC 29526-9268(843) 347-4900Fax: (843) 347-4901Mon - Thu 7:30 to 5:00 Fri 7:30 to 3:00 Sat 8:30 to 12:00 PCMH: No

Byrd, Mary APRN Provider ID: 1057884Gender: FemaleConway Medical Center300 Singleton Ridge RdConway, SC 29526-9142(843) 347-7111Mon - Sun 12:00 to 12:00 PCMH: No

Byrd, Mary APRN Provider ID: 2318633Gender: FemaleCmc Primary Care Towne Center5010 Carolina Forest BlvdMyrtle Beach, SC 29579(843) 236-2700Fax: (843) 236-2726Mon - Fri 8:00 to 5:00 PCMH: No



37719585

Allied Providers

Horry


cont.

Calhoun, Amanda APRN Provider ID: 1990603Gender: FemaleCpg Pediatrics At Carolina Forest4022 Postal Way, Ste CMyrtle Beach, SC 29579-3537(843) 903-4111Fax: (843) 903-4242Mon - Thu 8:00 to 5:00 Fri 8:00 to 3:00 PCMH: No

Coffin, Dawn APRN Provider ID: 1495442Gender: FemaleLittle River Medical Center Inc.7724 N Kings HwyMyrtle Beach, SC 29572-3041(843) 663-8000Fax: (843) 663-8172Mon - Fri 8:30 to 5:30 PCMH: No

Coffin, Dawn APRN Provider ID: 1495444Gender: FemaleLittle River Medical Center Inc.4303 Live Oak DrLittle River, SC 29566-9138(843) 663-8000Mon - Fri 8:30 to 5:30 PCMH: No

Coffin, Dawn APRN Provider ID: 1495446Gender: FemaleLittle River Medical Center Inc.3236 Holmestown Rd, Unit E1Myrtle Beach, SC 29588-7495(843) 663-8000Mon - Fri 8:30 to 5:30 PCMH: No

Coffin, Dawn APRN Provider ID: 1495448Gender: FemaleLittle River Medical Center Inc.1075 Mr Joe White Ave, Unit 101Myrtle Beach, SC 29577-5658(843) 663-8000Mon - Fri 8:30 to 5:30 PCMH: No

Coffin, Dawn APRN Provider ID: 1495450Gender: FemaleLittle River Medical Center Inc.3817 Main StLoris, SC 29569-3017(843) 663-8000Mon - Fri 8:30 to 5:30 PCMH: No

Coffin, Dawn APRN Provider ID: 1495451Gender: FemaleLittle River Medical Center Inc.4220 Carolina Exchange DrMyrtle Beach, SC 29579-4220(843) 663-8000Mon - Fri 8:30 to 5:30 PCMH: No

Cook, Helen APRN Provider ID: 1640150Gender: FemaleSc House Calls Inc3300 4th AveConway, SC 29527-6002(800) 491-0909Mon - Fri 8:00 to 5:00 PCMH: No

Cooper, Pansy APRN Provider ID: 1849580Gender: FemaleAgape Senior Primary Care Inc DBA M241 Singleton Ridge Rd, Unit BConway, SC 29526-8371(843) 347-5661Fax: (843) 448-2691Mon - Fri 8:00 to 5:00 PCMH: No

Cowsar, Paul APRN Provider ID: 1467814Gender: MaleSouth Crolina Primary Care Speciali3501 Belle Terre Blvd, Ste A1Myrtle Beach, SC 29579(843) 492-2790Fax: (843) 353-2611Mon - Fri 8:30 to 4:30 PCMH: No

Crawford, Stephanie APRN Provider ID: 1796029Gender: FemaleCpg Aynor Family Medicine1213 Elm StAynor, SC 29511-3320(843) 358-5806Fax: (843) 358-9205Mon - Thu 7:30 to 6:00 Fri 7:30 to 5:00 PCMH: No

Crum, Christopher APRN Provider ID: 2140562Gender: MaleCareteam Plus100 Professional Park DrConway, SC 29526-9260(843) 234-8260Fax: (843) 234-8224Mon, Wed - Thu 8:00 to 5:00 Tue 8:00 to 6:00 Fri 8:00 to 1:00 PCMH: No

Ditsious, Jaenell APRN Provider ID: 1982019Gender: FemaleAssociated Medical Specialists Pa817 Farrar DrConway, SC 29526-8747(843) 234-1660Fax: (843) 234-1661Tue - Thu 8:00 to 4:30 Fri 8:00 to 3:00 PCMH: No



37719585

Allied Providers

Horry


cont.

Ditsious, Jaenell APRN Provider ID: 2079155Gender: FemaleCmc Cancer Center300 Singleton Ridge RdConway, SC 29526-9142(843) 347-8050Fax: (843) 347-8049Mon - Fri 8:00 to 5:00 PCMH: No

Emerson, Jammie APRN Provider ID: 2171563Gender: FemaleUnited Physician Group8203 Nigels Dr, Ste 100Myrtle Beach, SC 29572-4177(843) 491-1630Fax: (843) 491-1634Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Evans, Kerri APRN Provider ID: 1556022Gender: FemaleAtlantic Urology Clinics LLC101 Mcleod Health Blvd, Ste 202Myrtle Beach, SC 29579-4477(843) 236-4949Fax: (843) 236-4746Mon - Fri 8:00 to 5:00 PCMH: No

Evans, Kerri APRN Provider ID: 1556022Gender: FemaleAtlantic Urology Clinics LLC3600 Sea Mountain Hwy, Ste DLittle River, SC 29566-8161(843) 390-8521Fax: (843) 399-8932Mon - Fri 8:00 to 5:00 PCMH: No

Evans, Lauren APRN Provider ID: 1789044Gender: FemaleAtlantic Urology Clinics LLC3600 Sea Mountain Hwy, Ste BLittle River, SC 29566-8161(843) 399-9696Fax: (843) 399-9596Mon - Fri 8:00 to 5:00 PCMH: No

Evans, Lauren APRN Provider ID: 1789044Gender: FemaleAtlantic Urology Clinics LLC3617 Casey St, Ste BLoris, SC 29569-2981(843) 756-6319Fax: (843) 756-5205Mon - Fri 8:00 to 5:00 PCMH: No

Farley, Colleen APRN Provider ID: 1986039Gender: FemaleAssociated Medical Specialists Pa8121 Rourk StMyrtle Beach, SC 29572-4128(843) 692-5000Fax: (843) 692-5010Mon - Thu 7:30 to 5:00 Fri 7:30 to 3:00 Sat - Sun 9:00 to 12:00 PCMH: No

Ferguson, Naomi ARNP Provider ID: 1471496Gender: FemaleRoper St. Francis After Hours Care-912 Inlet Square Drive, Ste AMurrells Inlet, SC 29576-7812(843) 651-4111Fax: (843) 651-1047Mon - Fri 8:00 to 5:00 PCMH: No

Flanegan, Renee APRN Provider ID: 1359822Gender: FemaleAtlantic Urology Clinics LLC5046 Highway 17 Byp S, Ste 200Myrtle Beach, SC 29588-4503(843) 347-2450Fax: (843) 293-0448Mon - Fri 8:00 to 5:00 PCMH: No

Flanegan, Renee APRN Provider ID: 1359822Gender: FemaleAtlantic Urology Clinics LLC823 82nd PkwyMyrtle Beach, SC 29572-4607(843) 449-1010Fax: (843) 497-6171Mon - Fri 8:00 to 5:00 PCMH: No

Floyd, Cassie APRN Provider ID: 2208639Gender: FemaleCmc Digestive Health2376 Cypress Cir, Ste 203Conway, SC 29526-8994(843) 347-6038Fax: (843) 347-9808Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Freeman, Katherine APRN

Provider ID: 2168064Gender: FemaleHealth Care Partners Of Sc1608 Main StConway, SC 29526-3572(843) 488-6030Fax: (877) 322-0181Mon - Fri 9:00 to 5:00 Sat 8:00 to 12:00 PCMH: No



37719585

Allied Providers

Horry


cont.

Gallier, Catherine APRN Provider ID: 2214990Gender: FemalePalmetto Primary Care Physicians912 Inlet Square Dr, Unit 206Murrells Inlt, SC 29576-7812(843) 651-4111Fax: (843) 492-4666Mon - Fri 8:00 to 5:00 PCMH: No

Gardner, Carol APRN Provider ID: 1224711Gender: FemaleCpg Carolina Internal Medicine2367b Cypress CirConway, SC 29526-8921(843) 349-1001Fax: (843) 349-1008Mon - Thu 8:30 to 5:00 Fri 8:30 to 1:00 PCMH: No

Gibbs, Ashley APRN Provider ID: 1323556Gender: FemaleCpg Pediatrics4022 Postal Way, Ste CMyrtle Beach, SC 29579-3537(843) 903-4111Fax: (843) 903-4242Mon - Fri 8:00 to 7:00 Sat 8:00 to 12:00 PCMH: No

Hallock, Irene CNP Provider ID: 767964Gender: FemaleForest Family Care Inc3874 Renee Dr, Ste BMyrtle Beach, SC 29579(843) 903-4500Fax: (843) 903-4505Mon - Fri 8:00 to 5:00 PCMH: No

Hamilton, Cynthia APRN Provider ID: 1233341Gender: FemaleCmc Cardiac Care2376 Cypress Cir, Ste 102Conway, SC 29526-8964(843) 347-8953Fax: (843) 347-0226Mon - Fri 9:00 to 5:00 PCMH: No

Harding, Mary APRN Provider ID: 2158352Gender: FemaleSc House Calls3600 Sea Mountain HwyLittle River, SC 29566-8161(843) 399-4848Fax: (843) 399-4409Mon - Fri 8:00 to 5:00 PCMH: No

Hewitt, Brenda APRN Provider ID: 2348539Gender: FemaleCmc Primary Care Socastee6010 Highway 707Myrtle Beach, SC 29588-7321(843) 293-1005Fax: (843) 293-1006Mon - Fri 8:00 to 4:30 Sat 8:00 to 12:00 PCMH: No

Hightower, Stephanie APRN

Provider ID: 1983489Gender: FemaleAssociated Medical Specialists Pa8121 Rourk StMyrtle Beach, SC 29572-4128(843) 692-5000Fax: (843) 692-5010Mon - Thu 7:30 to 5:00 Fri 7:30 to 3:00 Sat - Sun 8:00 to 12:00 PCMH: No

Holmes, Regina APRN Provider ID: 1719962Gender: FemaleAgape Senior Primary Care Inc3612 Mitchell StLoris, SC 29569(800) 491-0909Mon - Fri 8:00 to 5:00 PCMH: No

Hotaling, Ashleigh APRN Provider ID: 2015641Gender: FemaleMcleod Family Medicine Seacoast3980 Highway 9 E, Ste 100aLittle River, SC 29566-8163(843) 390-8320Fax: (843) 390-8329Mon - Fri 8:00 to 5:00 PCMH: No

James, Paul APRN Provider ID: 2101500Gender: MaleMcleod Loris Primary Care3109 Casey StLoris, SC 29569-2807(843) 756-9292Mon - Thu 7:00 to 5:00 Fri 7:00 to 2:00 PCMH: No

Johnson, Nancy APRN Provider ID: 2097733Gender: FemaleMcleod Family Medicine Carolina For101 Mcleod Health Blvd, Ste 201Myrtle Beach, SC 29579-4477(843) 646-8001Fax: (843) 646-8002Mon - Fri 8:00 to 5:00 PCMH: No



37719585

Allied Providers

Horry


cont.

Kelly, Nanette APRN Provider ID: 1989721Gender: FemaleAssociated Medical Specialists Pa3008 Bayboro StLoris, SC 29569-2714(843) 756-0932Fax: (843) 756-0508Mon - Thu 8:00 to 4:30 Fri 8:00 to 3:00 PCMH: No

Lambertus, Viki APRN Provider ID: 1241439Gender: FemaleLittle River Medical Center Inc7724 N Kings HwyMyrtle Beach, SC 29572(843) 663-8000Fax: (843) 663-8123Mon - Fri 8:30 to 5:30 PCMH: No

Lambertus, Viki APRN Provider ID: 1241441Gender: FemaleLittle River Medical Center Inc1075 Mr Joe White Ave, Ste 101Myrtle Beach, SC 29577(843) 663-8000Fax: (843) 839-2052Mon - Fri 8:30 to 5:30 PCMH: No

Lambertus, Viki APRN Provider ID: 1241445Gender: FemaleLittle River Medical Center Inc4303 Live Oak DrLittle River, SC 29566(843) 663-8000Fax: (843) 663-8100Mon - Fri 8:30 to 5:30 PCMH: No

Lambertus, Viki APRN Provider ID: 1241447Gender: FemaleLittle River Medical Center Inc3817 Main StLoris, SC 29569(843) 663-8000Fax: (843) 756-6828Mon - Fri 8:30 to 5:30 PCMH: No

Lee, Jennifer APRN Provider ID: 1708471Gender: FemaleCpg Family Medicine @ Towne Center5010 Carolina Forest BlvdMyrtle Beach, SC 29579-3579(843) 236-2700Mon - Thu 8:00 to 7:00 Fri 8:00 to 5:00 PCMH: No

Matthews, Kara APRN Provider ID: 1834632Gender: FemaleStrand Gi Associates945 82nd Pkwy, Ste 3aMyrtle Beach, SC 29572-4612(843) 449-3381Fax: (843) 449-9721Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Menser, Cheryl APRN Provider ID: 1963147Gender: FemaleDoctors Care Conway 5011113 Church StConway, SC 29526-4128(843) 248-6269Fax: (843) 248-0535Mon - Sun 8:00 to 8:00 PCMH: No

Menser, Cheryl APRN Provider ID: 2207426Gender: FemaleCmc Endocrinology2376 Cypress Cir, Ste 202Conway, SC 29526(843) 234-9700Fax: (843) 234-6896Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:00 PCMH: No

Painter, Autumn APRN Provider ID: 2148094Gender: FemaleHealth Care Partners Of Sc Inc.1608 Main StConway, SC 29526-3572(843) 488-6030Fax: (877) 322-0181Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No

Painter, Autumn APRN Provider ID: 2148094Gender: FemaleHealth Care Partners Of Sc Inc.243 Singleton Ridge Rd, Units E FConway, SC 29526(843) 488-6030Fax: (877) 322-0181Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No

Ruggerio, Joseph APRN Provider ID: 1845014Gender: MaleGrand Strand Specialty Associates8170 Rourk St, Ste 150Myrtle Beach, SC 29572-4127(843) 848-1440Fax: (843) 353-3461Mon - Thu 8:00 to 5:00 Fri 8:00 to 4:00 PCMH: No



37719585

Allied Providers

Horry


cont.

Schultz-Peters, Sandra APRN

Provider ID: 1822418Gender: FemaleDoctors Care Conway 5011113 Church StConway, SC 29526-4128(843) 248-6269Fax: (843) 248-0535Mon - Sun 8:00 to 8:00 PCMH: No

Smith, Tara APRN Provider ID: 1837248Gender: FemaleSurfside Beach Urgent Care LLC1945 Glenns Bay RdSurfside Beach, SC 29575-4833(843) 650-4006Fax: (843) 650-1418Mon - Fri 8:00 to 8:00 Sat - Sun 8:00 to 6:00 PCMH: No

Smith, Tara APRN Provider ID: 1837249Gender: FemaleCarolina Forest Urgent Care LLC185 Fresh Dr, Ste AMyrtle Beach, SC 29579-4436(843) 945-3030Fax: (843) 492-4479Mon - Fri 8:00 to 8:00 Sat - Sun 8:00 to 6:00 PCMH: No

Smith, Justin CNP Provider ID: 2211155Gender: MaleDoctors Care Conway 5011113 Church StConway, SC 29526-4128(843) 248-6269Fax: (843) 248-0535Mon - Sun 8:00 to 8:00 PCMH: No

Soucy, Madeline APRN Provider ID: 2160635Gender: FemaleSc House Calls Inc3612 Mitchell StLoris, SC 29569-2828(843) 448-2228Fax: (843) 448-2691Mon - Fri 8:00 to 5:00 PCMH: No

Stanley, Regina APRN Provider ID: 1829364Gender: FemaleDoctors Care Conway 5011113 Church StConway, SC 29526(843) 248-6269Fax: (843) 248-0535Mon - Sun 8:00 to 8:00 PCMH: No

States, Lindsey APRN Provider ID: 1969344Gender: FemaleDoctos Care Pa200 Middleburg DrMyrtle Beach, SC 29579-3408(843) 903-6650Fax: (843) 903-0758Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 5:00 PCMH: No

Steljes, Megan APRN Provider ID: 1987249Gender: FemaleAssociated Medical Specialists Pa817 Farrar DrConway, SC 29526-8747(843) 234-1660Fax: (843) 234-1661Mon - Thu 8:00 to 4:30 Fri 8:00 to 3:00 PCMH: No

Whitehurst, Emily APRN

Provider ID: 2029277Gender: FemaleMcleod Cardiology Associates Myrtle107 Mcleod Health Blvd, Ste 202Myrtle Beach, SC 29579-4477(843) 839-1201Fax: (843) 839-1202Mon - Fri 8:00 to 5:00 PCMH: No


Bruce, Amanda APRN Provider ID: 1990115Gender: FemaleCmc Pediatrics-Conway2376 Cypress Cir, Ste 103Conway, SC 29526-8964(843) 234-8788Fax: (843) 234-8787Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No

Gerrald, Amanda APRN Provider ID: 1336007Gender: FemaleHealth Care Partners Of South Carol1608 Main StConway, SC 29526-3572(843) 248-4700Fax: (843) 488-6345Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No

Nurse Practitioner Psychiatric

Mental Health

Barnett, Andrietta APRN Provider ID: 2306209Gender: FemaleSandhills Intergrated Care Inc3993 Meeting StLoris, SC 29569-3053(843) 756-3008Fax: (843) 756-3128Mon - Fri 9:00 to 5:00 PCMH: No



37719585

Allied Providers

Horry


Parker, Melinda APRN Provider ID: 1557340Gender: FemaleOhio Valley Physicians Inc3471 Belle Terre Blvd, Ste A1Myrtle Beach, SC 29579-8405(843) 492-2790Fax: (843) 353-2611Mon - Fri 8:30 to 4:30 PCMH: No

Nutrition

Wiltshire, Charlotte RD Provider ID: 1143423Gender: FemaleLittle River Medical Center Inc3236 Holmestown Rd, Ste E1Myrtle Beach, SC 29588-7495(843) 663-8000Fax: (843) 663-8092Mon - Fri 8:30 to 5:30 PCMH: No


Harden, Sonya CNM Provider ID: 1404667Gender: FemaleCoastal Carolina OBGYN620 Singleton Ridge RdConway, SC 29526(843) 349-0100Fax: (843) 349-0104Mon - Thu 9:00 to 5:00 Fri 9:00 to 12:00 PCMH: No

Miller, Ashley APRN Provider ID: 1222458Gender: FemaleTidelands Health Womens Center4320 Holmestown RdMyrtle Beach, SC 29588-7837(843) 652-8220Fax: (843) 652-0127Mon - Fri 9:00 to 5:00 PCMH: No


Apple, Claire OT Provider ID: 771557Gender: FemaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Arthur, Rachel OT Provider ID: 2190542Gender: FemaleTherapy Consortium Inc.4761 Highway 501Myrtle Beach, SC 29579-9457(843) 236-9751Fax: (866) 571-1014Mon - Fri 8:00 to 6:00 PCMH: No

Brown, Regina OT Provider ID: 1645548Gender: FemaleAll About Therapy LLC5046 Hwy 17 Byp S, Ste 205Myrtle Beach, SC 29588-4503(843) 748-0707Fax: (843) 748-0751Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Brown, Katherine OT Provider ID: 773325Gender: FemaleChildrens Therapy Services Inc5069 Spanish Oaks CtMurrells Inlet, SC 29576-5448(843) 357-6797Fax: (843) 357-6935Mon - Fri 9:00 to 5:00 PCMH: No

Brunson, Monica OT Provider ID: 1829946Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 457-1014Mon - Fri 8:00 to 6:00 PCMH: No

Dieter, Sara PT Provider ID: 775122Gender: FemaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Dixon, Heather OT Provider ID: 2266852Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(888) 510-6369Fax: (866) 571-1014Mon - Fri 7:30 to 6:30 PCMH: No

Doherty, Meghan OT Provider ID: 1993026Gender: FemaleTherapy Consortium Inc4761 Hwy 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 8:00 to 5:00 PCMH: No

Egan, Brad OT Provider ID: 1580904Gender: MaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 236-9751Mon - Fri 8:00 to 6:00 PCMH: No



37719585

Allied Providers

Horry

Occupational Therapy - cont.

Farnill, Leslie OT Provider ID: 1851898Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Mon - Fri 8:00 to 6:00 PCMH: No

Hafenbreidel, Jill OT Provider ID: 2116662Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579(843) 236-9751Fax: (866) 571-1014Mon - Fri 8:00 to 6:00 PCMH: No

Hardee, Katherine OT Provider ID: 1723306Gender: FemaleTherapy Consortium Inc.4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 236-9751Fax: (866) 571-5014Mon - Fri 8:00 to 6:00 PCMH: No

Krauss, Kari OT Provider ID: 771856Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 5:00 PCMH: No

Lewis, Katie OT Provider ID: 1023527Gender: FemaleDoyle Nobles Fundamentals Pedi-atric2540b Highway 501 EAynor, SC 29511-3477(843) 358-1457Fax: (843) 358-1458Mon, Wed 8:00 to 5:00 Tue, Thu 8:00 to 6:00 PCMH: No

Merritt, Rhonda OT Provider ID: 772228Gender: FemaleHand Therapy Plus1200 48th Ave NMyrtle Beach, SC 29577(843) 497-0201Fax: (843) 497-0195Mon - Fri 8:00 to 5:00 PCMH: No

Merritt, Rhonda OT Provider ID: 772228Gender: FemaleMyrtle Beach Physical Therapy210 Vlg Ctr Blvd, Ste 100Myrtle Beach, SC 29579(843) 491-4937Fax: (843) 491-4938Mon - Fri 8:00 to 5:00 PCMH: No

Merritt, Rhonda OT Provider ID: 772228Gender: FemaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Mims, Teresa OT Provider ID: 1239533Gender: FemaleHerapy Consortium4761 Highway 501, Ste #1Myrtle Beach, SC 29579(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 6:30 PCMH: No

Monday, Michelle OT Provider ID: 774113Gender: FemaleMyrtle Beach Physical Therapy210 Vlg Ctr Blvd, Ste 100Myrtle Beach, SC 29578-6706(843) 491-4937Fax: (843) 491-4938Mon - Fri 9:00 to 5:00 PCMH: No

Prock, Kelly OT Provider ID: 1640137Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 236-9751Fax: (866) 571-1014Mon - Fri 8:00 to 6:00 PCMH: No

Roberts, Juliet OT Provider ID: 1835727Gender: FemaleTherapy Consortium Inc.4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 236-9751Fax: (866) 571-1014Mon - Fri 8:00 to 6:00 PCMH: No

Stull, Ashley OT Provider ID: 1274089Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579(843) 236-9751Fax: (866) 571-1014Mon - Fri 9:00 to 6:30 PCMH: No



37719585

Allied Providers

Horry

Occupational Therapy - cont.

Tardy, Paul OT Provider ID: 1433911Gender: MaleTherapy Consortium Inc.4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Mon - Fri 9:00 to 6:30 PCMH: No

Torosian, Valeriya OT Provider ID: 916389Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 6:30 PCMH: No

Williams, Taylor OT Provider ID: 2297063Gender: FemaleTherapy Consortium Inc.4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 8:00 to 6:00 PCMH: No

Pediatrics

Pelinka, Sarah APRN Provider ID: 2201417Gender: FemaleMcleod Health Loris Seacoast3655 Mitchell StLoris, SC 29569-2827(843) 777-5240Fax: (843) 777-5572Mon - Sun 12:00 to 12:00 PCMH: No

Physical Therapy

Altena, Kristine PT Provider ID: 777122Gender: FemaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 9:00 to 5:00 PCMH: No

Bolton, Paula PT Provider ID: 775713Gender: FemaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Bouchard, Kristen PT Provider ID: 776109Gender: FemaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Bowen, Cary PT Provider ID: 771611Gender: MaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Brangers, Jennifer PT Provider ID: 777276Gender: FemaleMyrtle Beach Physical Therapy210 Villiage Blvd, Ste 100Myrtle Beach, SC 29579(843) 491-4937Fax: (843) 491-4938Mon - Fri 8:00 to 5:00 PCMH: No

Brangers, Jennifer PT Provider ID: 777276Gender: FemaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Brangers, Jennifer PT Provider ID: 777276Gender: FemaleStrand Therapy8161 Rourk StMyrtle Beach, SC 29572(843) 449-3685Fax: (843) 449-2746Mon - Fri 8:00 to 5:00 PCMH: No

Brazill, Brittany PT Provider ID: 1544665Gender: FemaleAti Physical Therapy Of Greenville210 Village Center Blvd, Ste 100Myrtle Beach, SC 29579-6706(843) 491-4944Fax: (843) 494-4938Mon - Fri 8:00 to 5:00 PCMH: No

Brazill, Brittany PT Provider ID: 1544665Gender: FemaleAti Physical Therapy Of Greenville4237 River Hills Dr, Ste 120Little River, SC 29566-6444(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No



37719585

Allied Providers

Horry


Brazill, Brittany PT Provider ID: 1544665Gender: FemaleAti Physical Therapy Of Greenville4237 River Hills Dr, Ste 110Little River, SC 29566-6444(843) 999-0900Fax: (843) 491-2040Mon - Fri 8:00 to 5:00 PCMH: No

Brazill, Brittany PT Provider ID: 1544665Gender: FemaleAti Physical Therapy Of Greenville8161 Rourk StMyrtle Beach, SC 29572-4128(843) 449-3685Fax: (843) 449-2746Mon - Fri 8:00 to 5:00 PCMH: No

Breeden, Melissa PT Provider ID: 772433Gender: FemaleStrand Therapy8161 Rourk StMyrtle Beach, SC 29572(843) 449-3685Fax: (843) 449-2746Mon - Fri 9:00 to 5:00 PCMH: No

Burkert, Stephen PT Provider ID: 772155Gender: MaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Burkert, Stephen PT Provider ID: 772155Gender: MaleStrand Therapy8161 Rourk StMyrtle Beach, SC 29572(843) 449-3685Fax: (843) 449-2746Mon - Fri 8:00 to 5:00 PCMH: No

Charles, Gabrielle PT Provider ID: 2150638Gender: FemaleAti Physical Therapy Of Greenville4237 River Hills Dr, Ste 120Little River, SC 29566-6444(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Charles, Gabrielle PT Provider ID: 2150638Gender: FemaleAti Physical Therapy Of Greenville4237 River Hills Dr, Ste 110Little River, SC 29566-6444(843) 999-0900Fax: (843) 491-2040Mon - Fri 8:00 to 5:00 PCMH: No

Cheng, Vicki PT Provider ID: 775931Gender: FemaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Chiarmonte, Anthony PT Provider ID: 2280910Gender: MaleAti Physical Therapy Of Greenville29 N Academy St, Ste 120Little River, SC 29566-6444(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Chitty, Nina PT Provider ID: 770397Gender: FemaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Christiansen, Laura PT Provider ID: 775499Gender: FemaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Cole, James PT Provider ID: 776953Gender: MaleMyrtle Beach Physical Therapy210 Village Blvd, Ste 100Myrtle Beach, SC 29579(843) 491-4937Fax: (843) 491-4938Mon - Fri 8:00 to 5:00 PCMH: No

Cole, James PT Provider ID: 776953Gender: MaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Congdon, Karyn PT Provider ID: 1543339Gender: FemaleTherapy Consortium4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (843) 571-1014Mon - Fri 8:00 to 6:00 PCMH: No



37719585

Allied Providers

Horry


Cumbie, Heather PT Provider ID: 771872Gender: FemaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Demarco, Donna PT Provider ID: 1436745Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 6:30 PCMH: No

Destefano, Ellen PT Provider ID: 1709686Gender: FemaleAti Physical Therapy Of Greenville5046 Highway 17 Byp S, Ste 201Myrtle Beach, SC 29588-4503(630) 296-2222Fax: (630) 759-9510Mon - Fri 8:00 to 5:00 PCMH: No

Dorton, Kathy PT Provider ID: 770332Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (843) 571-1014Mon - Fri 9:00 to 5:00 PCMH: No

Dukes, Laura PT Provider ID: 776129Gender: FemaleMyrtle Beach Physical Therapy210 Villiage Blvd, Ste 100Myrtle Beach, SC 29579(843) 491-4937Fax: (843) 491-4938Mon - Fri 8:00 to 5:00 PCMH: No

Dukes, Laura PT Provider ID: 776129Gender: FemaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Dukes, Laura PT Provider ID: 776129Gender: FemaleStrand Therapy8161 Rourk StMyrtle Beach, SC 29572(843) 449-3685Fax: (843) 449-2746Mon - Fri 8:00 to 5:00 PCMH: No

Durst, Kimberly PT Provider ID: 775240Gender: FemaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Ferranti, Vincenzo PT Provider ID: 1830077Gender: MaleAti Physical Therapy Of Greenville4237 River Hills Dr, Suite 120Little River, SC 29566-6444(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Fitzgerald, John PT Provider ID: 775670Gender: MaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Sat 8:00 to 5:00 PCMH: No

Fontanares, Roland PT Provider ID: 770337Gender: MaleMyrtle Beach Physical Therapy210 Villiage Blvd, Ste 100Myrtle Beach, SC 29579(843) 491-4937Fax: (843) 491-4938Mon - Fri 8:00 to 5:00 PCMH: No

Fontanares, Roland PT Provider ID: 770337Gender: MaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Fontanares, Roland PT Provider ID: 770337Gender: MaleStrand Therapy8161 Rourk StMyrtle Beach, SC 29572(843) 449-3685Fax: (843) 449-2746Mon - Fri 8:00 to 5:00 PCMH: No

Foster, Karen PT Provider ID: 1641492Gender: FemaleTherapy Consortium4761 Hwy 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 8:00 to 6:30 PCMH: No



37719585

Allied Providers

Horry


Gibson, Elizabeth PT Provider ID: 1465973Gender: FemaleLow Country Physical Theapy2586 Hwy 17 Business SMurrells Inlet, SC 29576(843) 651-6565Fax: (843) 651-6575Mon - Thu 7:30 to 6:00 Fri 7:30 to 1:00 PCMH: No

Graham, Megan PT Provider ID: 774411Gender: FemaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Grant, Lisa PT Provider ID: 772140Gender: FemaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Hauberg, Julie PT Provider ID: 1778680Gender: FemaleAti Physical Therapy Of Greenville4237 River Hills Dr, Suite 110Little River, SC 29566-6444(843) 999-0900Fax: (843) 491-2040Mon - Fri 8:00 to 5:00 PCMH: No

Heilman, D'andra. PT Provider ID: 770198Gender: FemaleClemson Sports Medicine Inc4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 9:00 to 5:00 PCMH: No

Heniford, Mary PT Provider ID: 771445Gender: FemaleMyrtle Beach Physical Therapy210 Villiage Blvd, Ste 100Myrtle Beach, SC 29579(843) 491-4937Fax: (843) 491-4938Mon - Fri 8:00 to 5:00 PCMH: No

Heniford, Mary PT Provider ID: 771445Gender: FemaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Heniford, Mary PT Provider ID: 771445Gender: FemaleStrand Therapy8161 Rourk StMyrtle Beach, SC 29572(843) 449-3685Fax: (843) 449-2746Mon - Fri 8:00 to 5:00 PCMH: No

Hershberger, Corey PT Provider ID: 1340242Gender: FemaleAti Physical Therapy Of Greenville210 Vlg Ctr Blvd, Ste 100Myrtle Beach, SC 29579-6706(843) 491-4944Fax: (843) 494-4938Mon - Fri 8:00 to 5:00 PCMH: No

Hershberger, Corey PT Provider ID: 1340242Gender: FemaleAti Physical Therapy Of Greenville4237 River Hills Dr, Ste 110Little River, SC 29566-6444(843) 999-0900Fax: (843) 491-2040Mon - Fri 8:00 to 5:00 PCMH: No

Hershberger, Corey PT Provider ID: 1340242Gender: FemaleAti Physical Therapy Of Greenville8161 Rourk StMyrtle Beach, SC 29572-4128(843) 449-3685Fax: (843) 449-2746Mon - Fri 8:00 to 5:00 PCMH: No

Hite, Stephanie PT Provider ID: 1709754Gender: FemaleAti Physical Therapy Of Greenville5046 Highway 17 Byp S, Ste 201Myrtle Beach, SC 29588-4503(630) 296-2222Fax: (630) 759-9510Mon - Fri 8:00 to 5:00 PCMH: No

Hite, Stephanie PT Provider ID: 1709754Gender: FemaleAti Physical Therapy Of Greenville8161 Rourk StMyrtle Beach, SC 29572-4128(843) 449-3685Fax: (843) 449-2746Mon - Fri 8:00 to 5:00 PCMH: No

Hite, Stephanie PT Provider ID: 1709754Gender: FemaleAti Physical Therapy Of Greenville3545 Highway 17, Unit 250Murrells Inlet, SC 29576-5114(843) 299-1721Fax: (843) 299-1720Mon - Fri 8:00 to 5:00 PCMH: No



37719585

Allied Providers

Horry


Hyer, Eric PT Provider ID: 776378Gender: MaleMyrtle Beach Physical Therapy210 Village Blvd, Ste 100Myrtle Beach, SC 29579(843) 491-4937Fax: (843) 491-4938Mon - Fri 8:00 to 5:00 PCMH: No

Hyer, Eric PT Provider ID: 776378Gender: MaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Ittenbach, Dennis PT Provider ID: 773903Gender: MaleMyrtle Beach Physical Therapy210 Villiage Blvd, Ste 100Myrtle Beach, SC 29579(843) 491-4937Fax: (843) 491-4938Mon - Fri 8:00 to 5:00 PCMH: No

Ittenbach, Dennis PT Provider ID: 773903Gender: MaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Ittenbach, Dennis PT Provider ID: 773903Gender: MaleStrand Therapy8161 Rourk StMyrtle Beach, SC 29572(843) 449-3685Fax: (843) 449-2746Mon - Fri 8:00 to 5:00 PCMH: No

Jennings, Jennifer PT Provider ID: 776803Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 5:00 PCMH: No

Jennings, Jennifer PT Provider ID: 776804Gender: FemaleChildrens Therapy Specialists5069 Spanish Oaks CtMurrells Inlet, SC 29576(843) 222-0564Fax: (843) 357-6935Mon - Fri 9:00 to 5:00 PCMH: No

Kaminski, Daniel PT Provider ID: 2136191Gender: MaleAti Physical Therapy Of Greenville4237 River Hills Dr, Ste 110Little River, SC 29566-6444(843) 999-0900Fax: (630) 759-9510Mon - Fri 8:00 to 5:00 PCMH: No

Kaminski, Daniel PT Provider ID: 2136191Gender: MaleAti Physical Therapy Of Greenville4237 River Hills Dr, Ste 120Little River, SC 29566-6444(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Kaminski, Daniel PT Provider ID: 2136191Gender: MaleAti Physical Therapy Of Greenville5046 Highway 17 Byp S, Ste 201Myrtle Beach, SC 29588-4503(630) 296-2222Fax: (630) 759-9510Mon - Fri 8:00 to 5:00 PCMH: No

Kaminski, Daniel PT Provider ID: 2136191Gender: MaleAti Physical Therapy Of Greenville8161 Rourk StMyrtle Beach, SC 29572-4128(843) 449-3685Fax: (843) 449-2746Mon - Fri 8:00 to 5:00 PCMH: No

Kline, Daniel PT Provider ID: 1450690Gender: MaleAti Physical Therapy Of Greenville210 Village Center Blvd, Ste 100Myrtle Beach, SC 29579-6706(843) 491-4944Fax: (843) 494-4938Mon - Fri 8:00 to 5:00 PCMH: No

Kline, Daniel PT Provider ID: 1450690Gender: MaleAti Physical Therapy Of Greenville8161 Rourk StMyrtle Beach, SC 29572-4128(843) 449-3685Fax: (843) 449-2746Mon - Fri 8:00 to 5:00 PCMH: No

Kunz, Rachel PT Provider ID: 1224714Gender: FemaleTherapy Consortium Inc.4761 Highway 501, Ste 1Myrtle Beach, SC 29579(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 6:30 PCMH: No



37719585

Allied Providers

Horry


Laspada, Raymond PT Provider ID: 1984760Gender: MalePediatric Consultin2922 Howard Ave, Unit DMyrtle Beach, SC 29577-1901(843) 236-9751Fax: (866) 571-1014Mon - Fri 8:00 to 6:00 PCMH: No

Lee, Matthew PT Provider ID: 776064Gender: MaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Mace, Alexandra PT Provider ID: 1778705Gender: FemaleAti Physical Therapy Of Greenville210 Village Center Blvd, Suite 100Myrtle Beach, SC 29579-6706(843) 491-4944Fax: (843) 494-4938Mon - Fri 8:00 to 5:00 PCMH: No

Meseck, Michael PT Provider ID: 773191Gender: MaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Montenery, Jason PT Provider ID: 1465451Gender: MaleLow Country Physical Therapy Inc2586 Highway 17 Business SMurrells Inlet, SC 29576(843) 651-6565Fax: (843) 651-6575Mon - Thu 7:30 to 6:00 Fri 7:30 to 1:00 PCMH: No

Orlando, Erik PT Provider ID: 1778633Gender: MaleAti Physical Therapy Of Greenville3545 Highway 17 Bypass, Suite 250Murrells Inlet, SC 29576-5114(843) 299-1721Fax: (843) 299-1720Mon - Fri 8:00 to 5:00 PCMH: No

Orlando, Erik PT Provider ID: 1778633Gender: MaleAti Physical Therapy Of Greenville4237 River Hills Dr, Suite 110Little River, SC 29566-6444(843) 999-0900Fax: (843) 491-2040Mon - Fri 8:00 to 5:00 PCMH: No

Parker, Stephen MD Provider ID: 772169Gender: MaleCarolina Orthopedic Specialists LLC3515 Caduceus DrMyrtle Beach, SC 29588(843) 294-1941Fax: (843) 294-1945Mon - Fri 9:00 to 5:00 PCMH: No

Patton, Melissa PT Provider ID: 1432185Gender: FemaleLow Country Physical Therapy2586 Highway 17 Business SouthMurrells Inlet, SC 29576(843) 651-6565Fax: (843) 651-6575Mon - Thu 7:30 to 6:00 Fri 7:30 to 1:00 PCMH: No

Pecylak, Colleen PT Provider ID: 2186278Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7565Fax: (866) 571-1014Mon - Fri 8:00 to 6:00 PCMH: No

Phillips, Kristopher PT Provider ID: 771372Gender: MaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Porada, Theodore PT Provider ID: 771644Gender: MaleMyrtle Beach Physical Therapy Nort4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No



37719585

Allied Providers

Horry


Priganc, Tammy PT Provider ID: 772197Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 5:00 PCMH: No

Schneider, Nicole PT Provider ID: 775911Gender: FemaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Sherrill, Phillip PT Provider ID: 1778652Gender: MaleAti Physical Therapy Of Greenville4237 River Hills Dr, Ste 110Little River, SC 29566-6444(843) 999-0900Fax: (843) 491-2040Mon - Fri 8:00 to 5:00 PCMH: No

Sherrill, Phillip PT Provider ID: 1778652Gender: MaleAti Physical Therapy Of Greenville4237 River Hills Dr, Ste 120Little River, SC 29566-6444(843) 249-5616Fax: (864) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Sherrill, Phillip PT Provider ID: 1778652Gender: MaleAti Physical Therapy Of Greenville8161 Rourk StMyrtle Beach, SC 29572-4128(843) 449-3685Fax: (843) 449-2746Mon - Fri 8:00 to 5:00 PCMH: No

Singh, Githa PT Provider ID: 927913Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 6:30 PCMH: No

Stoker, James PT Provider ID: 774396Gender: MaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Sullivan, Nekita PT Provider ID: 1340288Gender: FemaleAti Physical Therapy Of Greenville210 Vlg Ctr Blvd, Ste 100Myrtle Beach, SC 29579-6706(843) 491-4944Fax: (843) 494-4938Mon - Fri 8:00 to 5:00 PCMH: No

Sullivan, Nekita PT Provider ID: 1340288Gender: FemaleAti Physical Therapy Of Greenville4237 River Hills Dr, Ste 110Little River, SC 29566-6444(843) 999-0900Fax: (843) 491-2040Mon - Fri 8:00 to 5:00 PCMH: No

Sullivan, Nekita PT Provider ID: 1340288Gender: FemaleAti Physical Therapy Of Greenville8161 Rourk StMyrtle Beach, SC 29572-4128(843) 449-3685Fax: (843) 449-2746Mon - Fri 8:00 to 5:00 PCMH: No

Todd, Molly PT Provider ID: 1709726Gender: FemaleAti Physical Therapy Of Greenville3545 Highway 17, Unit 250Murrells Inlet, SC 29576-5114(843) 299-1721Fax: (843) 299-1720Mon - Fri 8:00 to 5:00 PCMH: No

Turner, Allison PT Provider ID: 774317Gender: FemaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Twaddle, Carianna PT Provider ID: 773234Gender: FemaleMyrtle Beach Physical Therapy210 Villiage Blvd, Ste 100Myrtle Beach, SC 29579(843) 491-4937Fax: (843) 491-4938Mon - Fri 8:00 to 5:00 PCMH: No

Twaddle, Carianna PT Provider ID: 773234Gender: FemaleStrand Therapy8161 Rourk StMyrtle Beach, SC 29572(843) 449-3685Fax: (843) 449-2746Mon - Fri 8:00 to 5:00 PCMH: No



37719585

Allied Providers

Horry


Vance, Darren PT Provider ID: 775251Gender: MaleMyrtle Beach Physical Therapy210 Villiage Blvd, Ste 100Myrtle Beach, SC 29579(843) 491-4937Fax: (843) 491-4938Mon - Fri 8:00 to 5:00 PCMH: No

Vance, Darren PT Provider ID: 775251Gender: MaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Vance, Darren PT Provider ID: 775251Gender: MaleStrand Therapy8161 Rourk StMyrtle Beach, SC 29572(843) 449-3685Fax: (843) 449-2746Mon - Fri 8:00 to 5:00 PCMH: No

Welch, Erin PT Provider ID: 773487Gender: FemaleHand Therapy Plus1200 48th Ave NMyrtle Beach, SC 29577(843) 236-6767Fax: (843) 236-6771Mon - Fri 8:00 to 5:00 PCMH: No

Welch, Erin PT Provider ID: 773487Gender: FemaleMyrtle Beach Physical Therapy210 Villiage Blvd, Ste 100Myrtle Beach, SC 29579(843) 491-4937Fax: (843) 491-4938Mon - Fri 8:00 to 5:00 PCMH: No

Welch, Erin PT Provider ID: 773487Gender: FemaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

White, Amie Kaye PT Provider ID: 772813Gender: FemaleMyrtle Beach Physical Therapy4237 River Hills Dr, Ste 120Little River, SC 29566(843) 249-5616Fax: (843) 249-1843Mon - Fri 8:00 to 5:00 PCMH: No

Physician Assistant

Alsworth, Roberta PA Provider ID: 1316945Gender: FemaleMcleod Cardiology Associates Myrtle107 Mcleod Health Blvd, Ste 202Myrtle Beach, SC 29579-4477(843) 839-1201Fax: (843) 839-1202Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Bethle, Joseph PA Provider ID: 1783549Gender: MaleGrand Strand Specialty Associates849 82nd PkwyMyrtle Beach, SC 29572-4614(843) 449-2336Fax: (849) 497-0625Mon - Fri 8:00 to 5:00 PCMH: No

Bethle, Joseph PA Provider ID: 2287653Gender: MaleGrand Strand Orthopedic Care920 Doug White Dr, Ste 130Myrtle Beach, SC 29572-4180(843) 497-6348Fax: (843) 497-6351Mon - Fri 8:00 to 5:00 PCMH: No

Blanton, Adam PA Provider ID: 1476766Gender: MaleOhio Valley Physicians Inc3501 Belle Terre Blvd, Ste A1Myrtle Beach, SC 29579(843) 492-2790Fax: (843) 353-2611Mon - Fri 9:00 to 5:00 PCMH: No

Britton, Kallie PA Provider ID: 1913474Gender: FemaleCmc Cardiac Care2376 Cypress Cir, Ste 102Conway, SC 29526-8964(843) 347-8953Fax: (843) 347-0226Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No



37719585

Allied Providers

Horry


Deshon, Laurie PA Provider ID: 1769134Gender: FemaleDoctors Care Surfside Medical Cente1600 Highway 17 NSurfside Bch, SC 29575-6015(843) 238-1461Fax: (843) 828-0622Mon - Sun 8:00 to 8:00 PCMH: No

Finley, Erin PA Provider ID: 1281097Gender: FemaleCoastal Carolina Otolaryngology Ass1021 Cipriana Dr, Ste 220Myrtle Beach, SC 29572(843) 449-6449Fax: (843) 449-1069Mon - Fri 8:00 to 5:00 PCMH: No

Floyd, Erin PA Provider ID: 1640126Gender: FemaleSc House Calls Inc3600 Sea Mountain Hwy, Ste CLittle River, SC 29566-8161(843) 399-4848Fax: (843) 399-4409Mon - Fri 8:00 to 5:00 PCMH: No

Floyd, Erin PA Provider ID: 1990767Gender: FemaleCpg Internal Medicine Creel Street1301 Creel StConway, SC 29527-5018(843) 248-4414Fax: (843) 248-3781Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No

Frye, Fritz PA Provider ID: 1796129Gender: MaleCpg Primary Care @ Carolina Forest4022 Postal WayMyrtle Beach, SC 29579-3537(843) 236-0000Fax: (843) 236-6191Mon - Fri 8:00 to 5:00 Sat 8:00 to 1:00 PCMH: No

Gardache, Marissa PA Provider ID: 1855483Gender: FemaleGrand Strand Specialty Associates849 82nd PkwyMyrtle Beach, SC 29572-4614(843) 449-2336Fax: (843) 497-0625Mon - Thu 8:00 to 5:00 Fri 8:00 to 4:00 PCMH: No

Hancock, Amy PA Provider ID: 2171539Gender: FemaleUnited Physicians Group8203 Nigels Dr, Ste 100Myrtle Beach, SC 29572-4177(843) 497-5323Fax: (843) 497-5314Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Harley, Jessica PA Provider ID: 2127584Gender: FemaleGrand Strand Surgical Specialists199 Vlg Ctr Blvd, Ste 100Myrtle Beach, SC 29579-3589(843) 497-6348Fax: (843) 236-1500Mon - Fri 8:00 to 5:00 PCMH: No

Harris, Larry PA Provider ID: 1190819Gender: MaleRoper St Francis Physician Partners4823 Hwy 17 N, Ste BMurrells Inlet, SC 29576-5037(843) 723-8823Fax: (843) 766-6551Mon - Fri 9:00 to 5:00 PCMH: No

Herrington, Susan PA Provider ID: 2023242Gender: FemaleCoastal Carolina Primary Care LLC4959 Hwy 17 Bypass SouthMurrells Inlet, SC 29576(843) 357-1299Fax: (843) 357-2264Mon - Fri 8:00 to 5:00 PCMH: No

Landers, Summer PA Provider ID: 1190925Gender: FemaleRoper St Francis Physician Partners4823 Hwy 17 N, Ste BMurrells Inlet, SC 29576-5037(843) 723-8823Fax: (843) 766-6551Mon - Fri 9:00 to 5:00 PCMH: No

Lewis, John PA Provider ID: 1240251Gender: MaleMcleod Orthopaedics Seacoast3980 Highway 9 E, Ste 200Little River, SC 29566(843) 390-0100Fax: (843) 390-0038Mon - Fri 8:00 to 5:00 PCMH: No



37719585

Allied Providers

Horry


Long, Kristina PA Provider ID: 1466839Gender: FemaleGeorgetown Physician Associates LLC11891 Plaza DrMurrells Inlet, SC 29576(843) 353-0288Fax: (843) 357-9770Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Loomis, Alexandra PA Provider ID: 1789364Gender: FemaleDoctors Care Market Commons2761 Agnes LnMyrtle Beach, SC 29577(843) 492-2710Fax: (843) 492-2708Mon - Sun 8:00 to 8:00 PCMH: No

Melgar, Tammy PA Provider ID: 1206817Gender: FemaleDoctors Care Surfside1600 Highway 17 NMyrtle Beach, SC 29575-6015(843) 238-1461Fax: (843) 828-0622Mon - Sun 8:00 to 8:00 PCMH: No

Middleton, Jessica PA Provider ID: 1190984Gender: FemaleRoper St. Francis Physician Partner4630 Highway 17N. Charleston, SC 29576-5016(843) 720-8490Fax: (843) 606-8063Mon - Fri 9:00 to 5:00 PCMH: No

Offenback, Richard PA Provider ID: 1758873Gender: MaleDoctors Care Conway 5011113 Church StConway, SC 29526(843) 248-6269Fax: (843) 248-0535Mon - Sun 8:00 to 8:00 PCMH: No

Phillips, Morgan PA Provider ID: 2025667Gender: FemaleGrand Strand Surgical Specialists933 Medical CircleMyrtle Beach, SC 29572-4116(843) 497-7772Fax: (843) 497-7627Mon - Fri 9:00 to 5:00 PCMH: No

Robinson, Christopher PA Provider ID: 1191058Gender: MaleRoper St. Francis Physician Partner4630 Highway 17Murrells Inlet, SC 29576-5016(843) 958-1281Fax: (843) 958-1278Mon - Fri 9:00 to 5:00 PCMH: No

Roode, Richard PA Provider ID: 1206854Gender: MaleDoctors Care Strand1221 21st Ave NMyrtle Beach, SC 29577-7401(843) 626-9379Fax: (843) 448-0707Mon - Sun 8:00 to 8:00 PCMH: No

Sedwick, Carly PA Provider ID: 2025742Gender: FemaleGrand Strand Surgical Specialists933 Medical CircleMyrtle Beach, SC 29572-4116(843) 497-7772Fax: (843) 497-7627Mon - Fri 9:00 to 5:00 PCMH: No

Shaver, Robin PA Provider ID: 1769221Gender: FemaleDoctors Care Strand1221 21st Avenue NorthMyrtle Beach, SC 29577-7401(843) 626-9379Fax: (843) 448-0707Mon - Sun 8:00 to 8:00 PCMH: No

Stevens, Jimmy PA Provider ID: 2286724Gender: MaleGrand Strand Orthopedic Care920 Doug White Dr, Ste 130Myrtle Beach, SC 29572-4180(843) 848-1440Fax: (843) 839-1654Mon - Fri 8:00 to 5:00 PCMH: No

Troutman, Ina PA Provider ID: 1800548Gender: FemaleCmc Pediatrics-Socastee6010 Hwy 707, Ste 100Myrtle Beach, SC 29588-7321(843) 293-1005Fax: (843) 293-1006Mon - Tue, Thu 8:00 to 7:00 Wed 8:00 to 7:30 Fri 8:00 to 5:00 Sat 8:00 to 1:00 PCMH: No

Troutman, Lucia PA Provider ID: 2112300Gender: FemaleGrand Strand Dermatology3001 Newcastle LoopMyrtle Beach, SC 29588-4502(843) 748-9784Fax: (843) 215-1211Mon - Thu 8:00 to 4:00 Fri 8:00 to 12:00 PCMH: No



37719585

Allied Providers

Horry


Troutman, Lucia PA Provider ID: 2112300Gender: FemaleGrand Strand Dermatology933 Medical CirMyrtle Beach, SC 29572-4116(843) 215-1100Fax: (843) 215-1211Mon - Fri 9:00 to 5:00 PCMH: No

Tumbleson, Catherine PA Provider ID: 1767179Gender: FemaleDoctors Care Carolina Forest200 Middleburg DrMyrtle Beach, SC 29579-3408(843) 903-6650Fax: (843) 903-0758Mon - Fri 8:00 to 8:00 Sat 9:00 to 5:00 Sun 9:00 to 6:00 PCMH: No

Turner, Amy PA Provider ID: 1191112Gender: FemaleRoper St Francis Physician Partners4630 Highway 17Murrells Inlet, SC 29576-5016(843) 724-2011Fax: (843) 402-1839Mon - Fri 9:00 to 5:00 PCMH: No

Villane, Kaycee PA Provider ID: 2323191Gender: FemaleStrand Regional Specialty Associate8170 Rourk St, Ste 150Myrtle Beach, SC 29572-4127(843) 449-2336Fax: (843) 497-0625Mon - Fri 8:00 to 5:00 PCMH: No


Miller, Johnathan PA Provider ID: 1092292Gender: MaleTidelands Health Family Medicine2347 S Hwy 17Garden City, SC 29576-7611(843) 357-2443Fax: (843) 357-2132Mon - Fri 8:00 to 5:30 PCMH: No

Physician Assistant Orthopedics

Prather, Landon PA Provider ID: 1609108Gender: MaleGeorgetown Physician Associates Ll4040 Highway 17, Unit 101Murrells Inlet, SC 29576-5098(843) 652-8160Fax: (843) 652-8161Mon - Fri 8:00 to 4:30 PCMH: No

Podiatry

Mctavish, Joseph PA Provider ID: 1190978Gender: MaleRoper St Francis Physician Partners4823 Hwy 17 N, Ste BMurrells Inlet, SC 29576-5037(843) 723-8823Fax: (843) 766-6551Mon - Fri 9:00 to 5:00 PCMH: No


Murray, David LPC Provider ID: 2242733Gender: MaleCoastal Haven Counseling LLC220 Ronnie Ct, Ste 2Myrtle Beach, SC 29579-4192(843) 945-0346Fax: (843) 432-3091Mon - Fri 8:00 to 10:00 Sat 8:00 to 4:00 PCMH: No

Okenfuss, Tina LPC Provider ID: 2343178Gender: FemaleCoastal Haven Counseling LLC220 Ronnie Ct, Ste 2Myrtle Beach, SC 29579-4192(843) 945-0346Fax: (843) 432-3091Mon - Fri 8:00 to 10:00 Sat 8:00 to 5:00 Sun 9:00 to 5:00 PCMH: No

Sloan, Theresa LPC Provider ID: 2047440Gender: FemaleThe Counseling Center Of Sayebrook106 Lansford Pl, Ste 202Myrtle Beach, SC 29588-6979(843) 213-2659Fax: (843) 213-6231Mon - Thu 8:00 to 4:00 Fri 8:00 to 2:00 PCMH: No

Talbert, Wendy LPC Provider ID: 1989742Gender: FemaleColumbia Counseling Center/Columbia220 Ronnie Ct, Ste 2Myrtle Beach, SC 29579-4192(843) 945-0346Fax: (843) 432-3091Mon - Fri 8:00 to 8:00 Sat 8:00 to 3:00 PCMH: No


Ard, Kimberly SLP Provider ID: 1469169Gender: FemaleTherapy Consortium Inc.4761 Highway 501, Ste 1Myrtle Beach, SC 29579(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 6:30 PCMH: No



37719585

Allied Providers

Horry

Speech & Language Pathology -

cont.

Bellavia, Lisa SLP Provider ID: 1543342Gender: FemaleTherapy Consortium4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 8:00 to 6:00 PCMH: No

Blakely Wheeler, Valerie SLP Provider ID: 1523768Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Mon - Fri 9:00 to 6:30 PCMH: No

Britt, Josie SLP Provider ID: 2014158Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 236-9751Fax: (866) 571-1014Mon - Fri 8:00 to 6:00 PCMH: No

Brown, Natalie SLP Provider ID: 1789055Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (843) 455-7505Mon - Fri 8:00 to 6:00 PCMH: No

Carey, Amanda SLP Provider ID: 2186264Gender: FemaleTherapy Consortium Inc.4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 236-9751Fax: (866) 571-1014Mon 8:00 to 6:30 Tue - Fri 8:00 to 6:00 PCMH: No

Combs, Susan SLP Provider ID: 1695895Gender: FemaleTherapy Consortium Inc4761 Hwy 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Mon - Fri 8:00 to 6:00 PCMH: No

Crowninshield, Jessica SLP Provider ID: 1432409Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 8:00 to 6:00 PCMH: No

Cusack, Shemeka SLP Provider ID: 2135056Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 236-9751Fax: (866) 571-1014Mon - Fri 8:00 to 6:00 PCMH: No

Dinello, Kaylee SLP Provider ID: 1604484Gender: FemaleTherapy Consortium4761 Hwy 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Mon 8:00 to 6:30 Tue - Fri 8:00 to 6:00 PCMH: No

Fitzpatrick, Christine SLP Provider ID: 1433910Gender: FemaleTherapy Consortium Inc4761 Hwy 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Mon - Fri 9:00 to 6:30 PCMH: No

Frye, Amanda SLP Provider ID: 1696448Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579(843) 455-7505Fax: (866) 571-1014Mon - Fri 8:00 to 6:00 PCMH: No

Gibbons, Laura SLP Provider ID: 2359966Gender: FemaleTherapy Consortium4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 236-9751Fax: (866) 571-1014Mon - Fri 8:00 to 6:00 PCMH: No

Glover, Farrah SLP Provider ID: 1697128Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Mon - Fri 8:00 to 6:00 PCMH: No

Johnson, Nia SLP Provider ID: 2237570Gender: FemaleTherapy Consortium Inc.4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 236-9751Fax: (866) 571-1014Mon - Fri 8:00 to 6:00 PCMH: No



37719585

Allied Providers

Horry


cont.

Jones, Michelle SLP Provider ID: 1194650Gender: FemaleTherapy Consortium4761 Highway 501, Ste 1Myrtle Beach, SC 29579(843) 455-7505Mon - Fri 9:00 to 6:30 PCMH: No

Jones Brown, Jacqueline SLP Provider ID: 1833579Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 236-9751Mon - Fri 8:00 to 6:00 PCMH: No

Kellahan, Meredith SLP Provider ID: 1594267Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 236-9751Fax: (866) 571-1014Mon - Fri 8:00 to 6:00 PCMH: No

Lehman, Annie SLP Provider ID: 1200981Gender: FemaleTherapy Consortium Inc.4761 Highway 501, Ste 1Myrtle Beach, SC 29579(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 6:30 PCMH: No

Merriman, Lisa SLP Provider ID: 1773794Gender: FemaleTherapy Consortium Inc.4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 8:00 to 6:00 PCMH: No

Palmer, Susan SLP Provider ID: 1472131Gender: FemaleTherapy Consortium Inc.4761 Highway 501, Ste 1Myrtle Beach, SC 29579(843) 455-7505Fax: (866) 571-1041Mon - Fri 9:00 to 6:30 PCMH: No

Price, Stacie SLP Provider ID: 1539808Gender: FemaleTherapy Consortium4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 8:00 to 6:00 PCMH: No

Rogers, Cheryl SLP Provider ID: 1574540Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Mon - Fri 8:00 to 6:00 PCMH: No

Stephenson, Jennifer SLP Provider ID: 1816587Gender: FemaleSpeech By The Beach Inc.2126 Highway 9 E, Ste C4Longs, SC 29568-5753(843) 734-1076Fax: (843) 734-1107Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Stewart, Danielle SLP Provider ID: 1829423Gender: FemaleTherapy Consortium Inc.4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 8:00 to 6:00 PCMH: No

Truesdale, Lakisha SLP Provider ID: 2246949Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Sun 9:00 to 6:30 PCMH: No

Valrie, Teah SLP Provider ID: 1638306Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Mon - Fri 8:00 to 5:00 PCMH: No

Walker, James SLP Provider ID: 1468456Gender: MaleTherapy Consortium Inc.4761 Highway 501, Ste 1Myrtle Beach, SC 29579(843) 455-7505Fax: (866) 571-1014Mon - Fri 8:00 to 6:00 PCMH: No

Warren, Michelle SLP Provider ID: 1433268Gender: FemaleTherapy Consortium Inc.4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 6:30 PCMH: No



37719585

Allied Providers

Horry


cont.

Weingart, Kristin SLP Provider ID: 2202413Gender: FemaleTherapy Consortium Inc.4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 236-9751Fax: (866) 571-1014Mon - Fri 8:00 to 6:00 PCMH: No

White, Cameron SLP Provider ID: 2005273Gender: MaleTherapy Consortium Inc.4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 236-9751Fax: (866) 571-1014Mon - Fri 8:00 to 6:00 PCMH: No

Wilson, Tanya SLP Provider ID: 1194651Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste #1Myrtle Beach, SC 29579(843) 283-2502Fax: (866) 571-1014Mon - Fri 9:00 to 6:30 PCMH: No

Speech Therapy

Abushakra, Kimberly SLP Provider ID: 1286597Gender: FemaleSpeech And Language Services1016 2nd Ave N, Ste 102North Myrtle Beach, SC 29582-3287(843) 491-3572Fax: (843) 491-3573Mon - Thu 8:00 to 5:00 PCMH: No

Berry, Jessica SLP Provider ID: 1249517Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 6:30 PCMH: No

Brooks, Jennifer SLP Provider ID: 773562Gender: FemaleTherapy Consortium4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 236-9751Fax: (843) 236-9765Mon - Thu 9:00 to 5:00 Fri 9:00 to 9:00 PCMH: No

Cotter, Priscilla SLP Provider ID: 926066Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 6:30 PCMH: No

Dawson, Michelle SLP Provider ID: 1276524Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579(843) 455-7505Fax: (866) 571-1014Mon - Fri 80:00 to 5:00 PCMH: No

Evans, Tonya SLP Provider ID: 770056Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 5:00 PCMH: No

Ferguson, Kimberly SLP Provider ID: 1274079Gender: FemaleTherapy Consortium4761 Highway 501, Ste 1Myrtle Beach, SC 29579(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 6:30 PCMH: No

Harmon, Tonya SLP Provider ID: 771754Gender: FemaleTherpay Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Thu 9:00 to 6:30 Fri 7:30 to 4:30 PCMH: No

Hunter, Lauren SLP Provider ID: 931170Gender: FemaleDoyle Nobles LLC2540b Highway 501 EAynor, SC 29511-3477(843) 358-1457Fax: (843) 358-1458Mon - Fri 9:00 to 5:00 PCMH: No



37719585

Allied Providers

Horry

Speech Therapy - cont.

Ivy, Amy Provider ID: 924959Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 6:30 PCMH: No

Lary, Andrea SLP Provider ID: 773585Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 5:00 PCMH: No

Leninger, Katherine SLP Provider ID: 775985Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 5:00 PCMH: No

Lloyd, Quincey SLP Provider ID: 1249505Gender: FemaleYoung Talkers LLC8703 Highway 17 Bypass, Ste IMyrtle Beach, SC 29575-7701(843) 457-1053Fax: (843) 215-2910Mon - Thu 8:00 to 6:00 Fri 8:00 to 12:00 PCMH: No

Lowe, Lisa SLP Provider ID: 776785Gender: FemaleOne Stop Therapy 4 Kids3140 Bayhaven DrMyrtle Beach, SC 29579-1821(843) 903-5455Mon - Fri 9:00 to 5:00 PCMH: No

Lowe, Lisa SLP Provider ID: 776785Gender: FemaleOne Stop Therapy 4 Kids4201 Carolina Exchange Dr, Ste 102Myrtle Beach, SC 29579-4394(843) 236-9751Mon - Fri 9:00 to 5:00 PCMH: No

Mahaffey, Kathryn SLP Provider ID: 774686Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 5:00 PCMH: No

Mcafee, Leticia SLP Provider ID: 924966Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 5:00 PCMH: No

Mezzatesta, Patricia SLP Provider ID: 772148Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 5:00 PCMH: No

Minter, Andrea SLP Provider ID: 770830Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 5:00 PCMH: No

Murdaugh, Monica SLP Provider ID: 774713Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Mon - Fri 9:00 to 5:00 PCMH: No

Oliver, Elizabeth SLP Provider ID: 1185335Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 501Myrtle Beach, SC 29579(843) 455-7505Fax: (866) 571-1014Mon - Fri 8:30 to 7:00 PCMH: No

Parent, Jennifer SLP Provider ID: 918065Gender: FemaleYoung Talkers LLC8703 Highway 17 Byp S, Ste IMyrtle Beach, SC 29575(843) 457-1053Fax: (843) 215-2910Mon - Fri 9:00 to 6:00 PCMH: No

Pendergrass, Kimberly SLP Provider ID: 926064Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 6:30 PCMH: No



37719585

Allied Providers

Horry

Speech Therapy - cont.

Peterson, Barbara SLP Provider ID: 926060Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 6:30 PCMH: No

Rogers, Susan SLP Provider ID: 1170367Gender: FemaleTherapy Consortium Inc.4761 Highway 501, Ste 1Myrtle Beach, SC 29579(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 6:30 PCMH: No

Schank, Stephanie SLP Provider ID: 1999859Gender: FemaleTherapy Consortium Inc.4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 236-9751Fax: (866) 571-1014Mon - Fri 8:00 to 6:00 PCMH: No

Soles, Margaret SLP Provider ID: 903275Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 6:30 PCMH: No

Walter, Lauren SLP Provider ID: 908345Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Sun 9:00 to 6:30 PCMH: No

Wheeler, Betty SLP Provider ID: 773219Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 5:00 PCMH: No

Williams, Ricki SLP Provider ID: 771875Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579-9457(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 5:00 PCMH: No

Young-Cline, Nicole SLP Provider ID: 775259Gender: FemaleYoung Talkers LLC8703 Highway 17 Byp S, Ste IMyrtle Beach, SC 29575(843) 457-1053Fax: (843) 215-2910Mon - Fri 9:00 to 6:00 PCMH: No

Zito, Caroline SLP Provider ID: 1276039Gender: FemaleTherapy Consortium Inc4761 Highway 501, Ste 1Myrtle Beach, SC 29579(843) 455-7505Fax: (866) 571-1014Mon - Fri 9:00 to 6:30 PCMH: No


Stokes, Ernest PA Provider ID: 1043737Gender: MaleGrand Strand Heart And Vascular Spe933 Medical CirMyrtle Beach, SC 29572-4116(843) 497-7772Fax: (843) 497-7627Grand Strand Regional Medical CenterMon - Fri 9:00 to 5:00 PCMH: No

Urology

Crawford, Rebecca APRN Provider ID: 1082304Gender: FemaleAtlantic Urology Clinics LLC3600 Sea Mountain Hwy, Ste DLittle River, SC 29566-8161(843) 399-8930Fax: (843) 399-8932Conway Medical CenterMon - Fri 9:00 to 5:00 PCMH: No

Crawford, Rebecca APRN Provider ID: 1082304Gender: FemaleAtlantic Urology Clinics LLC101 Mcleod Health Blvd, Ste 202Myrtle Beach, SC 29579-4477(843) 347-2450Fax: (843) 236-4746Conway Medical CenterMon - Fri 9:00 to 5:00 PCMH: No

Crawford, Rebecca APRN Provider ID: 1082304Gender: FemaleAtlantic Urology Clinics LLC402 Singleton Ridge RoadConway, SC 29526(843) 347-0267Fax: (843) 347-0346Conway Medical CenterMon - Fri 8:00 to 5:00 PCMH: No



37719585

Allied Providers

Horry

Urology - cont.

Lawrence, Melanie APRN Provider ID: 1118719Gender: FemaleAtlantic Urology Clinics LLC3600 Sea Mountain Hwy, Ste DLittle River, SC 29566-8161(843) 399-8930Fax: (843) 399-8932Mon - Fri 9:00 to 5:00 PCMH: No

Lawrence, Melanie APRN Provider ID: 1118719Gender: FemaleAtlantic Urology Clinics LLC394 Singleton Ridge RdConway, SC 29526-9150(843) 347-8765Fax: (843) 347-3499Mon - Fri 8:00 to 5:00 PCMH: No

Lawrence, Melanie APRN Provider ID: 1118719Gender: FemaleAtlantic Urology Clinics LLC402 Singleton Ridge RdConway, SC 29526-9153(843) 347-0267Fax: (843) 347-0346Mon - Fri 8:00 to 5:00 PCMH: No

Lawrence, Melanie APRN Provider ID: 1118719Gender: FemaleAtlantic Urology Clinics LLC101 Mcleod Health Blvd, Ste 202Myrtle Beach, SC 29579-4477(843) 236-5004Fax: (843) 236-4746Mon - Fri 9:00 to 5:00 PCMH: No

Wirt, Michelle PA Provider ID: 1079413Gender: FemaleAtlanic Urology Clinics LLC3600 Sea Mountain Hwy, Ste BLittle River, SC 29566-8161(843) 280-5151Fax: (843) 399-9596Mon - Fri 8:00 to 5:00 PCMH: No

Wirt, Michelle PA Provider ID: 1079413Gender: FemaleAtlantic Urology Clinics LLC823 82nd Pkwy, Unit 110Myrtle Beach, SC 29572-4607(843) 347-2450Fax: (843) 497-6171Mon - Fri 8:00 to 5:00 PCMH: No

Wirt, Michelle PA Provider ID: 1079413Gender: FemaleAtlantic Urology Clinics LLC101 Mcleod Health Blvd, Ste 202Myrtle Beach, SC 29579-4477(843) 347-2450Fax: (843) 236-4746Mon - Fri 9:00 to 5:00 PCMH: No

Wirt, Michelle PA Provider ID: 1079413Gender: FemaleAtlantic Urology Clinics LLC5046 Highway 17 Byp S, Ste 200Myrtle Beach, SC 29588-4503(843) 347-2450Fax: (843) 293-0448Mon - Tue 8:00 to 5:00 PCMH: No



37719585

Allied Providers

Marion


Painter, Autumn APRN Provider ID: 2148094Gender: FemaleHealth Care Partners Of Sc Inc.145 Palmetto Pointe RdMarion, SC 29571-6721(843) 488-6030Fax: (877) 322-0181Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No

Wilds, Linda APRN Provider ID: 1354162Gender: FemaleHealth Care Partners Of South Carol145 Palmetto Pointe RdMarion, SC 29571(843) 248-4700Fax: (843) 423-2070Mon - Fri 8:00 to 5:00 PCMH: No


Jenkins, Cynthia LPC Provider ID: 1855071Gender: FemaleCreative Counseling And Behavioral304 W Bond StMarion, SC 29571-3530(843) 260-8824Fax: (843) 765-3468Mon - Fri 8:30 to 5:00 PCMH: No

Nurse Practitioner

Thompkins, Kathy APRN Provider ID: 767738Gender: MalePalmetto Medical Care1002 S Main StMullins, SC 29574(843) 464-8205Fax: (843) 464-8206Mon - Fri 9:00 to 5:00 PCMH: No

Wilds, Linda APRN Provider ID: 1354162Gender: FemaleHealth Care Partners Of South Carol145 Palmetto Pointe RdMarion, SC 29571(843) 248-4700Fax: (843) 423-2070Mon - Fri 8:00 to 5:00 PCMH: No


Gulledge, Paul APRN Provider ID: 2320073Gender: MaleMcleod Family Medicine Marion Count3032 E Highway 76Mullins, SC 29574-7396(843) 777-7780Fax: (843) 292-7324Mon - Fri 8:00 to 5:00 PCMH: No

Painter, Autumn APRN Provider ID: 2148094Gender: FemaleHealth Care Partners Of Sc Inc.145 Palmetto Pointe RdMarion, SC 29571-6721(843) 488-6030Fax: (877) 322-0181Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No

Physical Therapy

Baslot, Joel PT Provider ID: 774701Gender: MaleJoel N Baslot PT LLC2236 E Highway 76, Ste AMarion, SC 29571(843) 423-4888Fax: (843) 423-4849Mon - Thu 8:30 to 12:00 Fri 8:30 to 3:30 PCMH: No

Physician Assistant

Strickland, Gwendolyn PA Provider ID: 909823Gender: FemaleMarion Medical Group1205 N Main StMarion, SC 29571-2008(843) 423-0760Fax: (843) 423-8136Mon - Fri 8:00 to 5:00 PCMH: No


Brown, Anita LPC Provider ID: 2144683Gender: FemaleChildren And Families Matter Llc.210 E Dozier StMarion, SC 29571-3014(843) 229-7931Mon - Fri 4:00 to 9:00 Sat 9:00 to 5:00 PCMH: No


Mason, Rachel SLP Provider ID: 1525808Gender: FemaleRemcare Speech Services500 N Main St, Ste A-8Marion, SC 29571-3032(843) 423-9998Fax: (843) 423-9928Mon - Wed, Fri 9:00 to 5:00 Thu 9:30 to 5:00 Sat 10:00 to 12:00 PCMH: No

Speech Therapy

Elliott, Rebecca SLP Provider ID: 775612Gender: FemaleSpeak Up Therapy Services214 Presbyterian StMarion, SC 29571(843) 615-1224Fax: (843) 275-0506Mon - Fri 8:00 to 5:00 PCMH: No



37719585

Allied Providers

Marlboro


Brown, Elizabeth LCSW Provider ID: 817367Gender: FemaleCaresouth Carolina225 S Main StMc Coll, SC 29570-2020(843) 523-5751Fax: (843) 523-6040Mon - Fri 9:00 to 5:00 PCMH: No

Family Practice

Mishra, Ellen APRN Provider ID: 995177Gender: FemaleCaresouth Carolina Inc225 S Main StMc Coll, SC 29570-2020(843) 523-5751Fax: (843) 523-6040Mon - Fri 8:30 to 5:00 PCMH: No

Watts, Sylvia APRN Provider ID: 831016Gender: FemaleCaresouth Carolina Inc.3080 Highway 15-401 EMc Coll, SC 29570-6128(843) 523-5751Fax: (843) 523-6040Mon - Fri 8:00 to 5:00 PCMH: No

Weaver, Patricia APRN Provider ID: 1056484Gender: FemaleCaresouth Carolina IncSubspecialty: HRSA FQHC999 Cheraw StBennettsville, SC 29512-2420(843) 479-6104Fax: (843) 479-2346Mon - Fri 8:00 to 5:00 PCMH: No


Mishra, Ellen ARNP Provider ID: 768030Gender: FemaleCsc BennettsvilleSubspecialty: HRSA FQHC999 Cheraw StBennettsville, SC 29512-2420(843) 479-2341Fax: (843) 479-2346Mon - Fri 8:30 to 5:00 PCMH: No


Gore, Rezell LCSW Provider ID: 1528199Gender: MaleSandhills Behavioral Center Inc404 S Main StMc Coll, SC 29570-1202(843) 400-5023Fax: (843) 400-5033Mon - Fri 8:00 to 5:00 PCMH: No

Smith, Robert CSW Provider ID: 1868572Gender: MaleR&c Consulting Group Inc.404 S Main StMc Coll, SC 29570-1202(843) 400-4407Fax: (843) 400-4408Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No

Licensed Marriage And Family

Therapist

Beres, Danielle LMFT Provider ID: 2251995Gender: FemaleThrive Community Services LLC111 Clyde StBennettsville, SC 29512-3117(843) 353-8934Fax: (843) 545-6023Mon - Fri 8:00 to 5:00 Sat 9:00 to 3:00 PCMH: No


Banda, Darlinda LPC Provider ID: 1348095Gender: FemaleRecovery Behavioral Healthcare LLC100 Community DrMc Coll, SC 29570(910) 273-9956Fax: (843) 507-1024Mon - Fri 9:00 to 5:00 PCMH: No

Patterson, Yolanda LPC Provider ID: 1907966Gender: FemaleR C Consulting Group404 S Main StMc Coll, SC 29570-1202(843) 400-4407Fax: (843) 400-4408Mon, Wed 8:00 to 9:00 Tue, Thu - Fri 8:00 to 5:00 Sat 10:00 to 6:00 PCMH: No

Patterson, Yolanda LPC Provider ID: 2048940Gender: FemaleInspirational Hope LLC232 Highway 15-401 Byp EBennettsville, SC 29512-4440(843) 456-5099Fax: (843) 456-5093Mon, Wed 8:00 to 9:00 Tue, Thu - Fri 8:00 to 5:00 Sat 10:00 to 6:00 PCMH: No

Stuckey, Dominica LPC Provider ID: 1478826Gender: FemaleAtlee Counseling LLC241 E Main StBennettsville, SC 29512(843) 456-5183Fax: (855) 710-7150Mon - Thu 10:00 to 6:00 Fri 10:00 to 7:00 PCMH: No



37719585

Allied Providers

Marlboro

Nurse Practitioner

Mishra, Ellen ARNP Provider ID: 768030Gender: FemaleCsc BennettsvilleSubspecialty: HRSA FQHC999 Cheraw StBennettsville, SC 29512-2420(843) 479-2341Fax: (843) 479-2346Mon - Fri 8:30 to 5:00 PCMH: No


Little, Earline APRN Provider ID: 1239557Gender: FemaleCaresouth Carolina Inc.3080 Highway 15-401 EMc Coll, SC 29570-6128(843) 523-5751Fax: (843) 523-6040Mon - Fri 8:00 to 5:00 PCMH: No


Bailey, Lauren APRN Provider ID: 2004288Gender: FemaleCaresouth Carolina Inc.999 Cheraw StBennettsville, SC 29512-2420(843) 479-2341Fax: (843) 479-2346Mon - Fri 8:30 to 5:00 PCMH: No

Mckoy, Alexia ARNP Provider ID: 1239555Gender: FemaleCaresouth Carolina Inc999 Cheraw StBennettsville, SC 29512(843) 479-6104Fax: (843) 479-2346Mon - Fri 8:00 to 5:00 PCMH: No

Quick, Sandra ARNP Provider ID: 1419774Gender: FemaleSc House Calls Inc304 E Market StBennettsville, SC 29512(843) 479-3837Fax: (843) 479-3931Mon - Fri 8:00 to 5:00 PCMH: No

Pediatrics

Worsham, Lauren APRN Provider ID: 850904Gender: FemaleCaresouth Carolina IncSubspecialty: HRSA FQHC210 W Main StBennettsville, SC 29512-3122(843) 479-1200Fax: (843) 479-1230Mon - Fri 8:30 to 5:00 PCMH: No

Physical Therapy

Imbeau, Nancy PT Provider ID: 1174514Gender: FemalePro-Motion Physical Therapy Of Flor3080 Highway 15-401, E Drive Suite BMccoll, SC 29570(843) 894-1141Fax: (843) 894-1142Mon - Fri 9:00 to 5:00 PCMH: No

Smith, Sherry PT Provider ID: 2153503Gender: FemalePro-Motion Physical Therapy3080 Highway 15-401, E Drive Suite BMccoll, SC 29560(843) 894-1141Fax: (843) 894-1142Mon - Thu 8:00 to 6:00 Fri 8:00 to 12:00 PCMH: No

Sto Domingo, Judie PT Provider ID: 772115Gender: FemaleMarlboro Physical Therapy And Rehab1021 Cheraw StBennettsville, SC 29512(843) 454-9000Fax: (843) 454-9001Mon - Thu 8:30 to 5:30 Fri 8:30 to 12:00 PCMH: No


Johnson, Damien LPC Provider ID: 2275870Gender: MaleDamien Edward Johnson104 Red Bluff StClio, SC 29525-3019(843) 586-0108Fax: (843) 586-0108Mon - Fri 9:00 to 7:00 Sat 10:00 to 1:00 PCMH: No



37719585

Allied Providers

Williamsburg

Family Practice

Morris, Angela APRN Provider ID: 1221449Gender: FemaleWilliamsburg Regional Health Center500 Thur Marshall Hwy, Ste FKingstree, SC 29556(843) 355-1772Fax: (843) 355-1775Mon - Tue, Thu 8:30 to 5:00 Wed 8:30 to 1:00 Fri 8:30 to 4:00 PCMH: No


Hayward, Meshellia ARNP Provider ID: 769123Gender: FemaleHopehealthSubspecialty: HRSA FQHC520 Thur Marshall Hwy, Ste BKingstree, SC 29556-4108(843) 355-5628Fax: (843) 355-5616Mon - Fri 8:30 to 5:00 PCMH: No

General Practice

Elvis III, James APRN Provider ID: 1202011Gender: MaleHopehealth GreeleyvilleSubspecialty: HRSA FQHC520 Thur Marshall Hwy, Ste BKingstree, SC 29556-4108(843) 355-5628Fax: (843) 355-5616Mon - Fri 8:00 to 5:00 PCMH: No


Graham, Meridith CSW Provider ID: 2137313Gender: FemaleHopehealth Kingstree520 Thur Marshall Hwy, Ste BKingstree, SC 29556-4108(843) 355-5628Fax: (843) 355-5616Mon - Fri 7:30 to 5:00 PCMH: No


Fulton, Melissa LPC Provider ID: 1241482Gender: FemaleDevine Destiny Counseling And Consu215 N Jackson StKingstree, SC 29556-3319(843) 264-6400Mon - Fri 9:00 to 5:00 PCMH: No

Gamble, Natalie LPC Provider ID: 1714266Gender: FemaleHopehealth Kingstree520 Thurgood Marshall Hwy, Ste BKingstree, SC 29556-4108(843) 355-5628Fax: (843) 355-6072Mon - Fri 7:30 to 5:00 PCMH: No

Wallace, Donya LPC Provider ID: 773971Gender: FemaleWallace Donya D201 Short StKingstree, SC 29556(843) 598-5096Fax: (843) 354-6461Mon, Wed, Fri 9:00 to 5:00 Tue, Thu 9:00 to 6:00 PCMH: No

Wallace, Donya LPC Provider ID: 773971Gender: Female128 E Mill St, Ste AKingstree, SC 29556-3428(843) 394-8274Fax: (843) 354-6461PCMH: No

Wells, Terrance LPC Provider ID: 1255191Gender: MaleFamily Support Services LLC615 Martin Luther King AveKingstree, SC 29556(803) 316-9056Fax: (803) 774-4378Mon - Fri 9:00 to 5:00 PCMH: No

Nurse Practitioner

Gulledge, Paul ARNP Provider ID: 2207669Gender: MaleMcleod Family Medicine Kingstree512 Nelson Blvd, Ste 200Kingstree, SC 29556-4027(843) 355-5459Fax: (843) 355-9704Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No

Hayward, Meshellia APRN Provider ID: 1245695Gender: FemaleHopehealth Greeleyville86 N Main St, Ste BGreeleyville, SC 29056(843) 426-2335Fax: (843) 426-2346Mon - Fri 8:00 to 5:00 PCMH: No



37719585

Allied Providers

Williamsburg


Hayward, Meshellia ARNP Provider ID: 769123Gender: FemaleHopehealthSubspecialty: HRSA FQHC520 Thur Marshall Hwy, Ste BKingstree, SC 29556-4108(843) 355-5628Fax: (843) 355-5616Mon - Fri 8:30 to 5:00 PCMH: No

Thompson, Taylor APRN Provider ID: 2227341Gender: FemaleHopehealth Kingstree520 Thur Marshall Hwy, Ste BKingstree, SC 29556-4108(843) 355-5628Fax: (843) 355-5616Mon - Fri 7:30 to 5:00 PCMH: No


Grimsley, Jessica APRN Provider ID: 1787027Gender: FemaleWilliamsburg Regional Health Center500 Thurgood Marshall Hwy, Ste FKingstree, SC 29556(843) 355-1772Mon - Fri 8:30 to 5:00 PCMH: No

Gulledge, Paul APRN Provider ID: 1506409Gender: MaleMcleod Family Medicine Kingstree512 Nelson Blvd, Ste 200Kingstree, SC 29556-4027(843) 355-5459Fax: (843) 355-9704Mon - Fri 8:00 to 5:00 PCMH: No

Johnson, Bonita APRN Provider ID: 1257966Gender: FemaleHopehealth GreeleyvilleSubspecialty: HRSA FQHC86 N Main StGreeleyville, SC 29506-9329(843) 426-2335Fax: (843) 426-2346Mon - Fri 8:00 to 5:00 PCMH: No

Williams, Liza APRN Provider ID: 1861340Gender: FemaleHopehealth KingstreeSubspecialty: HRSA FQHC520 Thur Good Marshall Hwy, Ste BKingstree, SC 29556-4108(843) 355-5628Fax: (843) 355-5616Mon - Fri 7:30 to 5:00 PCMH: No


Hanna, Rebekah APRN Provider ID: 1531819Gender: FemaleEs Pediatric Partners LLC402 Nelson Blvd, Ste 100Kingstree, SC 29556(843) 401-4200Fax: (843) 833-8599Mon - Fri 8:30 to 5:00 PCMH: No

Speech Therapy

Holmes, Essie SLP Provider ID: 770957Gender: FemaleWilliamsburg Speech Language Therap1253 Gausetown RdKingstree, SC 29556-7491(843) 372-4275Fax: (843) 382-7651Mon - Fri 9:00 to 5:00 PCMH: No



37719585

Pharmacy

Chesterfield

Retail

CVS Pharmacy 205 N Van Lingle Mungo BlvdPageland, SC 29728(843) 672-2420Fax: (843) 672-5860Mon - Fri 8:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

CVS Pharmacy 901 Market StCheraw, SC 29520(843) 537-9374Fax: (843) 921-4377Mon - Sat 9:00 to 9:00 Sun 10:00 to 6:00

Chesterfield Drug Company 139 Main StChesterfield, SC 29709(843) 623-2632Fax: (843) 623-6031Mon - Fri 8:00 to 7:00 Sat 8:30 to 1:00

Csc Community Pharmacy 715 S Doctors Dr Suite ACheraw, SC 29520(843) 865-4080Fax: (843) 865-4085Mon - Fri 8:30 to 6:00

Harseys Pharmacy 280 Us Hwy 1 SouthCheraw, SC 29520(843) 537-9991Fax: (843) 537-5081Languages: SpanishMon - Fri 9:00 to 6:00 Sat 9:00 to 1:00

Jefferson Drug 409 E Church StJefferson, SC 29718(843) 658-3006Fax: (843) 658-7811Languages: SpanishMon - Fri 8:30 to 5:30

P & H Pharmacy 700 Chesterfield HwyCheraw, SC 29520(843) 537-3801Fax: (843) 537-0170Mon - Fri 9:00 to 6:00 Sat 8:00 to 12:00

Pageland Family Pharmacy 214 S Van Lingle Mungo BlPageland, SC 29728(843) 675-2323Fax: (843) 675-2025Mon - Fri 9:00 to 6:00 Sat 9:00 to 1:00

Sandhills Medical Pharmacy 645 S 7th StMcbee, SC 29101(843) 335-8297Fax: (843) 335-8555Mon - Fri 8:30 to 6:00

Walmart Pharmacy 1040 Chesterfield Hwy # 10Cheraw, SC 29520(843) 537-2741Fax: (843) 537-2743Mon - Fri 9:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 5:00

Wannamaker Drug 107 West BlvdChesterfield, SC 29709(843) 623-2999Fax: (843) 623-3615Mon - Fri 9:00 to 6:00 Sat 9:00 to 12:00

Wannamakers Drug Store 154 Market StCheraw, SC 29520(843) 537-3221Fax: (843) 537-9550Mon - Fri 9:00 to 6:00 Sat 9:00 to 12:00



37719585

Pharmacy

Darlington

Retail

CVS Pharmacy 102 Express LnDarlington, SC 29532(843) 395-6448Fax: (843) 393-3525Mon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

CVS Pharmacy 2310 W Bobo Newsom HwyHartsville, SC 29550(843) 332-4191Fax: (843) 383-2231Mon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

Carolina Drug Store Inc 52 Public SqDarlington, SC 29532(843) 393-2865Fax: (843) 393-4445Mon - Fri 9:00 to 6:00

Csc Community Pharmacy 1280 S 4th StHartsville, SC 29550(843) 339-5530Fax: (843) 339-5531Mon - Fri 8:30 to 6:00

Csc Community

Pharmacy-Society Hill 743 S Main StSociety Hill, SC 29593(843) 378-4148Fax: (843) 378-1144Mon - Fri 8:30 to 6:00

Darlington Family Pharmacy 203 S Main StDarlington, SC 29532(843) 395-6020Fax: (843) 395-2595Languages: SpanishMon - Fri 9:00 to 6:00 Sat 9:00 to 12:00

Hartsville Drug Company Inc 134 W Carolina AveHartsville, SC 29550(843) 332-6581Fax: (843) 332-7783Mon - Fri 9:00 to 6:00 Sat 9:00 to 12:00

Lamar Family Pharmacy 100 N Railroad AveLamar, SC 29069(843) 326-5231Fax: (843) 326-5068Mon - Fri 9:00 to 6:00 Sat 9:00 to 1:00 Sun 12:00 to 12:00

Nursing Home Dispensary 212 W Carolina AveHartsville, SC 29550(843) 332-5193Fax: (843) 332-2589Mon - Fri 9:00 to 6:00

Palmetto Breathing Solutions 18 Public SquareDarlington, SC 29532(843) 393-1001Fax: (843) 398-0020Mon - Fri 8:00 to 5:00

Professional Pharmacy 201 Cashua St Ste 2Darlington, SC 29532(843) 393-6591Fax: (843) 395-8449Languages: SpanishMon - Thu 8:00 to 6:00 Fri 8:00 to 5:30

Walmart Pharmacy 251 Andover PlDarlington, SC 29532(843) 395-8467Fax: (843) 395-8469Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00

Walmart Pharmacy 1150 S 4th StHartsville, SC 29550(843) 332-8111Fax: (843) 383-4667Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00



37719585

Pharmacy

Dillon

Retail

CVS Pharmacy 1211 Highway 301 NDillon, SC 29536(843) 774-5616Fax: (843) 774-0730Mon - Fri 8:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

Central Pharmacy 303 N Main StLake View, SC 29563(843) 759-2800Fax: (843) 759-9974Mon - Fri 9:00 to 5:30

Csc Community Pharmacy-Latta

122 Latimer StLatta, SC 29565(843) 627-6261Fax: (843) 627-6265Mon - Fri 8:30 to 6:00

Dillon Community Pharmacy 200 W Harrison St Ste ADillon, SC 29536(843) 774-4749Fax: (843) 627-0077Mon - Fri 9:00 to 6:00 Sat 9:00 to 12:00

Dillon Family Pharmacy 603 N 6th AveDillon, SC 29536(843) 774-1816Fax: (843) 774-1833Mon - Thu 8:00 to 5:30 Fri 8:00 to 4:30

Latta Drug Co Inc 106 E Main StLatta, SC 29565(843) 752-0023Fax: (843) 752-0062Mon - Sat 9:00 to 6:00

Walmart Pharmacy 805 Enterprise RdDillon, SC 29536(843) 841-2228Fax: (843) 841-2331Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00



37719585

Pharmacy

Florence

Retail

Advantage Pharmacy And

Wellness 506 W Palmetto StFlorence, SC 29501(843) 407-7637Fax: (843) 669-1054Mon - Fri 8:00 to 6:00

CVS Pharmacy 3210 E Palmetto StFlorence, SC 29506(843) 662-3740Fax: (843) 665-4734Mon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

CVS Pharmacy 2501 2nd Loop RdFlorence, SC 29501(843) 667-0134Fax: (843) 317-9653Mon - Fri 9:00 to 8:00 Sat - Sun 10:00 to 6:00

CVS Pharmacy 800 Pamplico HwyFlorence, SC 29505(843) 292-0621Fax: (843) 292-0627Mon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

CVS Pharmacy 733 S Irby StFlorence, SC 29501(843) 665-4475Fax: (843) 629-5482Mon - Sun 12:00 to 12:00

CVS Pharmacy 2791 David H Mcleod BlvdFlorence, SC 29501(843) 667-6891Fax: (843) 773-8747Mon - Fri 9:00 to 7:00 Sat 9:00 to 6:00 Sun 10:00 to 5:00

CVS Pharmacy 301 W Thomas StLake City, SC 29560(843) 394-5434Fax: (843) 394-3654Mon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

CVS Pharmacy 3306 W Palmetto StFlorence, SC 29501(843) 317-9365Fax: (843) 629-8213Mon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

Careplusrx Pharmacy 822 Pamplico HwyFlorence, SC 29505(843) 799-1211Fax: (843) 799-1217Languages: HindiMon - Fri 9:00 to 7:00 Sat 9:00 to 1:00 Sun 12:00 to 12:00

F & L Drug Store 223 N Jones RdOlanta, SC 29114(843) 396-4431Fax: (843) 370-0013Mon - Fri 9:00 to 6:00 Sat 9:00 to 1:00

Kjs Pharmacy 129 240 Kelley StLake City, SC 29560(843) 374-1110Fax: (843) 374-1117Mon - Fri 8:00 to 7:00 Sat 8:00 to 5:00

Longs Drug Longs Drugs360 N Irby StFlorence, SC 29501(843) 656-0390Fax: (843) 667-9435Mon - Fri 8:00 to 7:00 Sat 9:00 to 2:00

Lowcountry Pharmacy LLC 1530 Mcclure CourtFlorence, SC 29505(843) 656-2973Fax: (843) 656-2978Mon - Fri 9:00 to 5:30

M & D Drug Company 117 E Main StLake City, SC 29560(843) 374-3711Fax: (843) 374-8925Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00

Mcleod Outpatient Pharmacy 501 E Cheves St Ste DFlorence, SC 29506(843) 777-2166Fax: (843) 777-2950Mon - Fri 7:00 to 8:00 Sat 9:00 to 1:00

Medicine Mart 1337 S Irby StFlorence, SC 29505(843) 667-0759Fax: (843) 667-0506Mon - Fri 9:30 to 6:00 Sat 9:30 to 1:00

Omnicare Of Florence 3203 W Palmetto St Ste GFlorence, SC 29501(843) 665-8332Fax: (803) 665-8618Mon - Fri 8:00 to 7:30 Sat 10:00 to 5:00

Palmetto Prescription Center 1304 Celebration BlvdFlorence, SC 29501(843) 292-9783Fax: (843) 292-9784Mon - Fri 9:00 to 6:00 Sat 9:00 to 12:00

Pamplico Pharmacy 616 S Walnut StPamplico, SC 29583(843) 493-2311Fax: (843) 493-3005Languages: SpanishMon - Fri 8:30 to 6:30 Sat 9:00 to 1:00



37719585

Pharmacy

Florence

Retail - cont.

Piggly Wiggly Pharmacy 1945 W Palmetto St Suite 32Florence, SC 29501(843) 673-9107Fax: (843) 673-9109Mon - Fri 9:00 to 6:00 Sat 9:00 to 1:00

Professional Pharmacy Of Olanta

211 S Jones Rd Ste AOlanta, SC 29114(843) 699-2009Fax: (843) 395-8423Mon - Wed 8:00 to 6:00 Thu 8:00 to 9:00 Fri 8:00 to 3:00

Sams Club Pharmacy 200 N Beltline DrFlorence, SC 29501(843) 758-6087Fax: (843) 758-6088Mon - Fri 9:00 to 7:00 Sat 9:00 to 6:00

The Medicine Cabinet 319 Mercy StLake City, SC 29560(843) 374-2825Fax: (843) 374-9914Mon - Fri 8:30 to 6:30 Sat 8:30 to 12:00

The Pharmacy 2500 Hoffmeyer RdFlorence, SC 29501(843) 773-2821Fax: (843) 773-2822Mon - Fri 9:00 to 6:30 Sat 9:00 to 1:00

Timmonsville Pharmacy 309 E Smith StTimmonsville, SC 29161(843) 346-5410Fax: (843) 346-5414Languages: SpanishMon - Fri 9:00 to 6:00 Sat 9:00 to 12:00

Vistara Pharmacy 817 S Cashua Dr Ste CFlorence, SC 29501(843) 713-1575Fax: (877) 839-0075Languages: HindiMon - Fri 9:00 to 6:00

Wall Drugs Of Johnsonville Inc 239 East Stuckey StJohnsonville, SC 29555(843) 386-6135Fax: (843) 380-1025Mon - Fri 8:00 to 6:00 Sat 8:00 to 12:00

Wall Drugs Of Pamplico Inc 616 S Walnut StPamplico, SC 29583(843) 905-0200Fax: (843) 905-0201Mon - Fri 9:00 to 6:00 Sat - Sun 12:00 to 12:00

Walmart Pharmacy 230 N Beltline DrFlorence, SC 29501(843) 664-0909Fax: (843) 664-0911Mon - Fri 8:00 to 9:00 Sat 8:00 to 7:00 Sun 10:00 to 6:00

Walmart Pharmacy 900 Us 52 HwyLake City, SC 29560(843) 394-8125Fax: (843) 394-8303Mon - Fri 9:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 5:00

Walmart Pharmacy 804 S Cashua DrFlorence, SC 29501(843) 269-9980Fax: (843) 269-9981Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00

Walmart Pharmacy 2014 S Irby StFlorence, SC 29505(843) 292-0307Fax: (843) 292-9582Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00

Well Center Pharmacy 605 S Irby StFlorence, SC 29501(843) 799-5054Fax: (843) 799-5168Mon - Fri 9:00 to 6:00 Sat 9:00 to 1:00



37719585

Pharmacy

Horry

Retail

Atlantic Apothecary 3816 Hwy 17 S Ste 2North Myrtle Beach, SC 29582(843) 272-7900Fax: (843) 272-5090Mon - Fri 8:00 to 6:00 Sat 9:00 to 1:00

Aynor Family Pharmacy 240 8th AvenueAynor, SC 29511(843) 358-2000Fax: (843) 358-2524Mon - Fri 8:00 to 6:00 Sat 9:00 to 2:00

CVS Pharmacy 9718 N Kings HwyMyrtle Beach, SC 29572(843) 497-8625Fax: (843) 497-8893Mon - Fri 9:00 to 7:00 Sat - Sun 10:00 to 6:00

CVS Pharmacy 512 S Kings HwyMyrtle Beach, SC 29577(843) 448-1684Fax: (843) 916-4344Mon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

CVS Pharmacy 1010 Highway 17 NNorth Myrtle Beach, SC 29582(843) 249-1451Fax: (843) 280-7931Mon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

CVS Pharmacy 1370 Highway 17Little River, SC 29566(843) 249-7618Fax: (843) 249-3248Mon - Fri 8:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

CVS Pharmacy 140 Sayebrook PkwyMyrtle Beach, SC 29588(843) 294-6572Fax: (843) 294-6572Mon - Fri 9:00 to 7:00 Sat 9:00 to 5:00 Sun 11:00 to 5:00

CVS Pharmacy 930 82nd PkwyMyrtle Beach, SC 29572(843) 449-4751Fax: (843) 449-8213Mon - Fri 9:00 to 8:00 Sat - Sun 10:00 to 5:00

CVS Pharmacy 101 Founders Bay RdMurrells Inlet, SC 29576(843) 651-8863Fax: (843) 651-8864Mon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

CVS Pharmacy 2492 Highway 9 ELittle River, SC 29566(843) 399-1726Fax: (843) 399-8497Mon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

CVS Pharmacy 578 International DrMyrtle Beach, SC 29579(843) 903-0444Fax: (843) 996-1409Mon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

CVS Pharmacy 1303 38th Ave NMyrtle Beach, SC 29577(843) 448-4437Fax: (843) 946-9677Mon - Sun 12:00 to 12:00

CVS Pharmacy 4767 Broad StLoris, SC 29569(843) 716-1220Fax: (843) 716-1226Mon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

CVS Pharmacy 2996 E Highway 501Conway, SC 29526(843) 347-2613Fax: (843) 234-0402Mon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

CVS Pharmacy 1150 Seaboard StMyrtle Beach, SC 29577(843) 626-5034Fax: (843) 213-2892Mon - Fri 9:00 to 7:00 Sat 9:00 to 5:00 Sun 11:00 to 5:00

CVS Pharmacy 6617 N Kings HwyMyrtle Beach, SC 29572(843) 449-5246Fax: (843) 692-2766Mon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

CVS Pharmacy 101 Fetlock DrMyrtle Beach, SC 29588(843) 236-6300Fax: (843) 236-6335Mon - Fri 9:00 to 8:00 Sat - Sun 10:00 to 6:00

CVS Pharmacy 707 Church StConway, SC 29526(843) 248-6302Fax: (843) 248-0752Mon - Fri 8:00 to 9:00 Sat 8:00 to 6:00 Sun 10:00 to 6:00



37719585

Pharmacy

Horry

Retail - cont.

CVS Pharmacy 3411 Socastee BlvdMyrtle Beach, SC 29588(843) 294-1285Fax: (843) 294-1291Mon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

CVS Pharmacy 4401 Highway 17 SNorth Myrtle Beach, SC 29582(843) 272-8884Fax: (843) 272-3314Mon - Fri 9:00 to 8:00 Sat - Sun 10:00 to 5:00

CVS Pharmacy 601 Highway 17 NSurfside Beach, SC 29575(843) 238-5628Fax: (843) 232-0320Mon - Fri 8:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

Carolina Forest Pharmacy 4036 River Oaks Dr Unit B1Myrtle Beach, SC 29579(843) 236-6500Fax: (843) 584-8534Languages: ArabicMon - Fri 9:00 to 6:00 Sat 9:00 to 1:00

Carolina Health Pharmacy 5405 Dick Pond RdMyrtle Beach, SC 29588(843) 215-8200Fax: (843) 507-8733Languages: ArabicMon - Fri 9:00 to 6:00 Sat 9:00 to 1:00

Cherry Grove Drug 1201 Sea Mountain HighwayNorth Myrtle Beach, SC 29582(843) 361-3784Fax: (843) 361-3785Mon - Fri 9:00 to 6:00 Sat 9:00 to 1:00

Coastal Cancer Center Pharmacy

8121 Rourk StMyrtle Beach, SC 29572(843) 692-5000Fax: (833) 287-1231Mon - Fri 7:30 to 4:30

Conway Pharmacy 1610 Church St Ste CConway, SC 29526(843) 488-3535Fax: (843) 488-3435Languages: ArabicMon - Fri 9:00 to 6:00 Sat 9:00 to 2:00 Sun 12:00 to 12:00

Costco Pharmacies Costco Pharmacy1021 Oak Forest LnMyrtle Beach, SC 29577(843) 839-6606Fax: (843) 839-6632Mon - Fri 10:00 to 7:00 Sat 9:30 to 6:00

Golden Town Pharmacy 2837 Highway 501 EastAynor, SC 29511(843) 358-7777Fax: (843) 358-7775Mon - Fri 9:00 to 6:00 Sat 9:00 to 1:00

Healthcare Partners Of Sc 1608 N Main StConway, SC 29526(843) 488-6341Fax: (843) 488-6346Mon - Fri 8:00 to 5:00

Kroger Drugstore 3735 Renee DrMyrtle Beach, SC 29579(843) 236-4296Fax: (843) 236-4274Mon - Fri 9:00 to 9:00 Sat 10:00 to 4:00 Sun 12:00 to 5:00

Kroger Drugstore 2939 S Highway 17Murrells Inlt, SC 29576(843) 357-4300Fax: (843) 357-2480Mon - Fri 9:00 to 9:00 Sat 10:00 to 4:00 Sun 12:00 to 5:00

Kroger Pharmacy 781 Main StN Myrtle Bch, SC 29582(843) 249-9967Fax: (843) 280-3643Mon - Fri 9:00 to 9:00 Sat 10:00 to 4:00 Sun 12:00 to 5:00

Kroger Sav-On 9610 N Kings HwyMyrtle Beach, SC 29572(843) 449-2158Fax: (843) 692-7221Mon - Fri 9:00 to 9:00 Sat 10:00 to 4:00 Sun 12:00 to 5:00

Little River Medical Ctr Phcy 4303 Live Oak DrLittle River, SC 29566(843) 663-8099Fax: (843) 281-8454Languages: SpanishMon - Fri 9:00 to 5:30

Little River Medical Ctr Phcy 4220 Carolina Exchange DrMyrtle Beach, SC 29579(843) 663-8051Fax: (843) 663-8131Mon - Fri 9:00 to 5:00

Loris Drug Store 4125 Main StLoris, SC 29569(843) 756-4021Fax: (843) 756-9124Languages: SpanishMon - Fri 8:00 to 6:00 Sat 8:00 to 3:00



37719585

Pharmacy

Horry

Retail - cont.

Mcleod Choice Phcy Seacoast 4000 Hwy 9 EastLittle River, SC 29566(843) 366-3107Fax: (843) 366-3108Mon - Fri 8:00 to 5:00

Medicine Mart 1401 Main StConway, SC 29526(843) 248-4609Fax: (843) 488-0770Mon - Fri 8:00 to 6:00 Sat 8:00 to 12:00

Nyes Pharmacy 1600 10th AveConway, SC 29526(843) 248-5015Fax: (843) 488-1942Mon - Fri 8:00 to 6:00 Sat 8:00 to 2:00

Ocean Lakes Pharmacy 1415 Highway 17 NSurfside Beach, SC 29575(843) 238-5159Fax: (843) 238-8270Mon - Fri 9:00 to 6:00 Sat 9:00 to 2:00

Publix Super Markets Publix Pharmacy11920 Highway 707 Ste AMurrells Inlet, SC 29576(843) 353-5614Fax: (843) 806-4777Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 11:00 to 6:00

Publix Super Markets Publix Pharmacy2170 Oakheart RdMyrtle Beach, SC 29579(843) 903-4615Fax: (843) 492-5492Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 11:00 to 6:00

Publix Super Markets Publix Pharmacy7925 N Kings HwyMyrtle Beach, SC 29572(843) 449-1620Fax: (843) 492-4278Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 11:00 to 6:00

Publix Super Markets Publix Pharmacy1576 Highway 17 NNorth Myrtle Beach, SC 29582(843) 272-0059Fax: (843) 491-6911Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 11:00 to 6:00

Rivertown Pharmacy Inc 2219 Main StConway, SC 29526(843) 488-4400Fax: (843) 488-4401Mon - Fri 8:30 to 6:00 Sat 9:00 to 2:00

Sams Club Pharmacy 1946 10th Ave NMyrtle Beach, SC 29577(843) 445-7179Fax: (843) 445-7596Mon - Fri 9:00 to 7:00 Sat 9:00 to 6:00

Seashore Drugs 1304 Highway 17Little River, SC 29566(843) 281-9797Fax: (843) 281-9771Languages: SpanishMon - Fri 9:00 to 6:00 Sat 9:00 to 12:00

Sherrys Meds And More

Pharmacy 3914 Main StLoris, SC 29569(843) 756-4664Fax: (843) 756-4668Mon - Fri 8:30 to 6:00 Sat 8:30 to 1:00

The Medicine Shoppe 3985 Meeting StLoris, SC 29569(843) 756-1600Fax: (843) 756-3382Mon - Fri 8:30 to 6:00 Sat 8:30 to 1:00

The Pharmacy At Cmc 300 Singleton Ridge RdConway, SC 29526(843) 829-1001Fax: (843) 349-0862Mon - Fri 9:00 to 5:00

Walgreens Drug Store Walgreens1905 Highway 544Conway, SC 29526(843) 347-7617Fax: (843) 234-0898Mon - Fri 9:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

Walgreens Drug Store Walgreens7800 N Kings HwyMyrtle Beach, SC 29572(843) 497-9995Fax: (843) 497-9592Mon - Fri 9:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

Walgreens Drug Store Walgreens5001 Socastee BlvdMyrtle Beach, SC 29588(843) 293-6066Fax: (843) 293-6238Mon - Fri 7:00 to 12:00 Sat 8:00 to 10:00 Sun 9:00 to 10:00

Walgreens Drug Store Walgreens600 Hwy 17 SNorth Myrtle Beach, SC 29582(843) 272-4269Fax: (843) 361-1435Mon - Fri 9:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00



37719585

Pharmacy

Horry

Retail - cont.

Walmart Pharmacy 550 Highway 17 NNorth Myrtle Beach, SC 29582(843) 281-8176Fax: (843) 281-8309Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00

Walmart Pharmacy 545 Garden City ConnectorMurrells Inlet, SC 29576(843) 357-6588Fax: (843) 357-6591Mon - Fri 9:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 5:00

Walmart Pharmacy 3915 North Kings HwyMyrtle Beach, SC 29577(843) 353-5589Fax: (843) 353-5588Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00

Walmart Pharmacy 151 Myrtle Ridge DrConway, SC 29526(843) 234-1420Fax: (843) 234-1440Mon - Fri 9:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

Walmart Pharmacy 2709 Church St Ste AConway, SC 29526(843) 365-0301Fax: (843) 365-0318Mon - Fri 8:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00

Walmart Pharmacy 2751 Beaver Run BlvdMyrtle Beach, SC 29575(843) 215-3856Fax: (843) 215-3859Mon - Fri 9:00 to 9:00 Sat 10:00 to 6:00 Sun 9:00 to 7:00

Walmart Pharmacy 541 Seaboard StMyrtle Beach, SC 29577(843) 445-7851Fax: (843) 445-7953Mon - Fri 9:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 5:00

Walmart Pharmacy 125 Maryport DrMyrtle Beach, SC 29575(843) 232-0495Fax: (843) 232-0497Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00

Walmart Pharmacy 3650 Walton DrMyrtle Beach, SC 29577(843) 839-9875Fax: (843) 839-9867Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00

Walmart Pharmacy 11980 Highway 17 BypMurrells Inlet, SC 29576(843) 357-2000Fax: (843) 357-2080Mon - Fri 8:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00

Walmart Pharmacy 10820 Kings RdMyrtle Beach, SC 29572(843) 449-0508Fax: (843) 692-8936Mon - Fri 9:00 to 7:00 Sat 9:00 to 6:00 Sun 10:00 to 5:00

Walmart Pharmacy 1705 S Kings HwyMyrtle Beach, SC 29577(843) 353-5640Fax: (843) 353-5639Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00

Waterway Pharmacy 3373 Highway 9 ELittle River, SC 29566(843) 734-0612Fax: (843) 734-0793Languages: HindiMon - Fri 9:00 to 6:00 Sat 9:00 to 2:00



37719585

Pharmacy

Marion

Retail

Bridgers Drug Store 305 N Main StMarion, SC 29571(843) 423-2682Fax: (843) 423-2429Mon - Fri 8:30 to 5:30 Sat 8:30 to 12:00

CVS Pharmacy 236 W Mcintyre StMullins, SC 29574(843) 464-0372Fax: (843) 464-2729Mon - Fri 8:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

CVS Pharmacy 700 N Main StMarion, SC 29571(843) 423-1021Fax: (843) 423-2178Mon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

Carolina Pharmacy 2537 E Highway 76 Ste BMarion, SC 29571(843) 765-3320Fax: (843) 765-3321Mon - Fri 9:00 to 6:00 Sat 9:00 to 12:00 Sun 12:00 to 12:00

Health Care Partners Phcy Marion

145 Palmetto Pointe RoadMarion, SC 29571(843) 765-4240Fax: (843) 874-5100Languages: SpanishMon - Fri 9:00 to 5:00 Sat - Sun 12:00 to 12:00

Mullins Discount Drug 310 S Main StMullins, SC 29574(843) 464-1757Fax: (843) 464-1751Languages: SpanishMon - Fri 9:00 to 6:00 Sat 9:00 to 1:00

Walmart Pharmacy 305 Commerce DrMullins, SC 29574(843) 423-9411Fax: (843) 423-7510Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00



37719585

Pharmacy

Marlboro

Retail

CVS Pharmacy 1085 Cottingham Blvd N Ste 3Bennettsville, SC 29512(843) 479-8355Fax: (843) 479-9782Mon - Fri 9:00 to 8:00 Sat - Sun 10:00 to 6:00

Csc Community Pharmacy Mccoll

3080 Highway 15 401 EMc Coll, SC 29570(843) 523-6212Fax: (843) 523-6216Mon - Fri 9:00 to 6:00

Csc Community Phcy Bennetts-

ville 999 Cheraw StBennettsville, SC 29512(843) 456-7777Fax: (843) 456-7778Mon - Fri 8:30 to 6:00

Fowler Pharmacy 301 E Market StBennettsville, SC 29512(843) 479-3831Fax: (843) 479-1376Mon - Tue, Thu - Fri 9:00 to 6:00 Wed 9:00 to 5:00

Marlboro Drug Company 113 N Marlboro StBennettsville, SC 29512(843) 479-4248Fax: (843) 479-3640Mon - Fri 9:00 to 6:00

Medcare Pharmacy 1114 Cottingham Blvd N Ste BBennettsville, SC 29512(843) 479-7101Fax: (843) 479-7101Mon - Fri 8:00 to 6:00 Sat 9:00 to 1:00

Walmart Pharmacy 336 Highway 9 WBennettsville, SC 29512(843) 479-0029Fax: (843) 479-0031Mon - Fri 9:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00



37719585

Pharmacy

Williamsburg

Retail

Black River Pharmacy 32a N Williamsburg County HwyKingstree, SC 29556(843) 355-5656Fax: (843) 355-5655Mon - Fri 9:00 to 6:00 Sat 9:00 to 1:00

CVS Pharmacy 120 N Longstreet StKingstree, SC 29556(843) 354-5565Fax: (843) 354-3735Mon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

CVS Pharmacy 206 S Main StHemingway, SC 29554(843) 558-9455Fax: (843) 558-7614Mon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

Greeleyville Pharmacy 215 Varner AveGreeleyville, SC 29056(843) 426-2170Fax: (843) 426-2166Mon - Fri 9:00 to 6:00 Sat 9:00 to 12:00

Stuckey Pharmacy 207 South Main StHemingway, SC 29554(843) 558-1010Fax: (843) 558-1014Mon - Fri 9:00 to 6:00 Sat 9:00 to 12:00

Williamsburg Pharmacy 411 Thurgood Marshall BlvdKingstree, SC 29556(843) 355-3300Fax: (843) 355-3302Mon - Fri 9:00 to 6:00 Sat 9:00 to 1:00



37719585

Alternate Languages Index

You can find a provider who speaks a different language in this index. First look for the language

you need. Then check the specialty and provider name.

Indice de idiomas alternativos: En este índice, usted puede encontrar un proveedor que hable

otro idioma. Primero busque el idioma que necesita, y luego verifique la especialidad y el nombre

del proveedor.

American Sign Language

Arabic

Chinese

Dutch

French

German

Gujarati

Hindi


Minuteclinic LLC ..............................150

Gastroenterology

Charbel, Samer MD ......................... 97

Internal Medicine

Hassan, Alkhatib MD .....................106

Itani, Najla MD ..................................106

Nephrology

Alsaka, Mhd MD ...............................68

Ophthalmology

Stokes, Mark MD .............................. 77

Pulmonary Disease

Hayek, Hafez MD ............................ 122

Retail

Carolina Forest Pharmacy ..........254

Carolina Health Pharmacy .........254

Conway Pharmacy ........................254

Family Practice

Behling, Edward MD ..........................7

Substance Abuse

Kirkland, Marion LPC .....................189

Family Practice

Biester, Christina MD ........................2


Biester, Christina MD ......................... 1

Family Practice

Hyler, Daniel MD .................................9

Macdonald, Allan MD .......................9

Gastroenterology

Charbel, Samer MD ......................... 97

Internal Medicine

Itani, Najla MD ..................................106

Nephrology

Alsaka, Mhd MD ...............................68

Orthopaedic Surgery

Deshmukh, Ashwin MD .................. 81

Pediatrics

Japitana, Marian MD ..........................5


White, Steven MD ........................... 121

Preventive Medicine

Leisy, Heather MD ........................... 84

Pulmonary Disease

Elya, Marwan MD .............................86

Hayek, Hafez MD ............................ 122

Vascular Surgery

Winkler, Gabor MD ........................128

Family Practice

Hyler, Daniel MD .................................9

Gastroenterology

Oza, Veeral MD ................................. 61

Internal Medicine

Shah, Vipul MD ..................................66

Preventive Medicine

Leisy, Heather MD ........................... 84

Psychology

Hunter, William PSYD .................... 85

Cardiology

Pande, Amit MD ............................... 93

Family Practice


Singh, Varinder MD .......................... 10

Gastroenterology

Oza, Veeral MD ................................. 61

Pannu, Davinderbir MD .................. 61


Thumallapally, Nishitha MD ....... 103


37719585


Hindi - cont.

Hungarian

Ilocano

Mandarin

Marathi

Portuguese

Punjabi

Russian

SpanishInfectious Disease

Bharadwaj, Ramesh MD ................ 64

Internal Medicine

Govindappa, Venugopal MD ...... 65

Shah, Vipul MD ..................................66

Nephrology

Govindappa, Venugopal MD ......68


Chaudhry, Anu MD ......................... 74

Faiyaz, Seema MD ............................ 54

Physician Assistant

Tohid, Usman PA .............................187

Psychology


Pulmonary Disease

Jona, Vinod MD .................................86

Retail

Careplusrx Pharmacy .................... 251

Vistara Pharmacy ........................... 252

Waterway Pharmacy ....................256

Substance Abuse


Pediatrics

Schultz, Agnes MD .............................. 1

Vascular Surgery

Winkler, Gabor MD ........................128


Nabong-Nillas, Maristela MD ..... 24

Pediatrics

Nabong-Nillas, Maristela MD ......32

Physical Therapy

Baslot, Joel PT .................................. 243

Sto Domingo, Judie PT ................245

Rheumatology

Lee, Wendy MD .............................. 123

Cardiology

Pande, Amit MD ............................... 93


Lobo, Vanessa LPC ......................... 174

Neurology

Sandoz, George MD .......................110

Ophthalmology

Sandoz, George MD ....................... 114

Family Practice


Gastroenterology

Pannu, Davinderbir MD .................. 61

Physician Assistant

Tohid, Usman PA .............................187

Vascular Surgery

Winkler, Gabor MD ........................128


Kershaw County Commission On Alcohol And ...................................... 142

Ear Nose & Throat

Bondy, Peter MD .............................. 95

Sutton, Darin MD .............................96

Endocrinology Diabetes Meta-bolism

Culleton, John MD ........................... 59

Family Practice


Doud-Kearns, Tina APRN ............ 192

Eaton, Carol PA ................................ 193

Haynes, Jennifer APRN ................. 193

Hernandez, Jose MD .........................17

Hyler, Daniel MD .................................9

Insignares, Luis MD ............................17

Lanning Lowther, Lisa DO ...............9

Mattheis, John MD .............................9

Mendez, Luz MD .................................3

O'connor, William MD .................... 19

Wilson, Beverly APRN ................... 193


Doud-Kearns, Tina APRN ............ 195

Doud-Kearns, Tina ARNP ............ 195

Haynes, Jennifer APRN ................. 195

Hernandez, Jose MD ........................23

Insignares, Luis MD ...........................23


O'connor, William MD ................... 25

Teague, Allen LPC ...........................199

Tizora, Sibonokuhle MD ................35

Wilson, Beverly APRN ................. 200


37719585


Spanish - cont. Tagalog

Tamil

Telugu

Urdu

Yoruba

General Surgery

Poole, Trevor MD ............................101

Infectious Disease

Olatosi, Akinwale MD .................... 39

Internal Medicine

Olatosi, Akinwale MD ........................ 1

Santiago, Kenneth MD .................107

Taype Perez De Roberts, Carmen MD ..........................................................66


Laboratory Corp Of America ...158


Cantley, Amy LMHC .....................206

Lobo, Vanessa LPC ......................... 174

Teague, Allen LPC ...........................210

Neurology

Sandoz, George MD .......................110

Nurse Practitioner

Doud-Kearns, Tina ARNP ............214

Felder, Melissa APRN ..................... 177

Hayward, Meshellia APRN .........246

Niederwerfer, Robin APRN ........216


Faiyaz, Seema MD ............................ 54

Levenson, Terry MD ....................... 30

Lineback, Bradley MD ......................31

Martinez, Eduardo MD .................. 112

Ophthalmology

Greene, Howard MD ...................... 76

Sandoz, George MD ....................... 114

Optometry

Merhi, Eva OD ................................... 116

Vaught, James OD ........................... 117

Orthopaedic Surgery

Deshmukh, Ashwin MD .................. 81


Floyd Brace Company Inc ........... 155

Pediatrics

Montes-Ramos, Camille MD .........13

Morphis, Elizabeth MD .....................5


Nichols, William MD ........................32

Tizora, Sibonokuhle MD ................35

Willard, Samantha APRN .............168

Preventive Medicine

Leisy, Heather MD ........................... 84

Psychiatry

Bauer, Robert MD ............................ 84

Psychology


Retail

Darlington Family Pharmacy .....249

Harseys Pharmacy .........................248

Health Care Partners Phcy Marion 257

Jefferson Drug .................................248

Little River Medical Ctr Phcy ...254

Loris Drug Store .............................254

Mullins Discount Drug ................. 257

Pamplico Pharmacy ....................... 251

Professional Pharmacy ................249

Seashore Drugs ...............................255

Timmonsville Pharmacy .............. 252

Substance Abuse





Lu, Rommel MD ................................ 64


Schindler, Joycelyn MD ................. 113

Pediatrics


Gastroenterology

Ansari, Shoukath MD ......................60

Ophthalmology

Vasuki, Nagavivek MD ................... 78

Family Practice

Beeraka, Prakash MD .........................7


Thumallapally, Nishitha MD ....... 103

Family Practice


Gastroenterology

Oza, Veeral MD ................................. 61

Physician Assistant

Tohid, Usman PA .............................187

Psychiatry

Oduwole, Adedapo MD ............... 121


37719585

Specialty Providers At-A-Glance

You can find a specific kind of provider in this index. First look for the type of care you

need. Then check the county and page number. You can go to that page to get the

provider’s information.

Un vistazo a los proveedores especializados: En este índice, usted puede encontrar un tipo

específico de proveedor. Primero busque el tipo de cuidado que necesita, y luego verifique el

condado y el número de página. Consulte esa página para obtener la información del proveedor.

A

B

C

D


Horry ................................................... 92

Advance Registered Nurse Prac-titioner Psychiatrist

Horry ..................................................190


Horry ..................................................190


Darlington ......................................... 42

Florence ............................................. 56

Horry ................................................... 92

Williamsburg ................................... 132


Florence ............................................ 145

Horry ..................................................149

Audiology

Darlington ......................................... 161

Florence ............................................169

Horry ..................................................190


Florence ............................................169


Chesterfield .................................... 142

Darlington ........................................ 143

Dillon .................................................. 144

Florence ............................................ 145

Horry ..................................................149

Marion ............................................... 156

Marlboro .......................................... 157

Williamsburg ...................................158


Darlington ......................................... 42

Florence ............................................. 56

Horry ................................................... 191

Cardiology

Darlington ......................................... 42

Florence ............................................169

Horry ................................................... 191

Marion ............................................... 129

Williamsburg ................................... 132


Horry ................................................... 94


Dillon .................................................. 167

Florence ............................................170

Horry .................................................. 192


Horry .................................................. 192

Chiropractic

Darlington ......................................... 42

Dillon ................................................... 49

Florence ............................................. 58

Horry ................................................... 95

Marion ............................................... 129


Florence ............................................. 171

Horry .................................................. 192

Marlboro .........................................244


Horry ................................................... 95


Chesterfield .................................... 142

Darlington ........................................ 143

Dillon .................................................. 144

Florence ............................................ 145

Horry ..................................................149

Marion ............................................... 156

Marlboro .......................................... 157

Williamsburg ...................................158


Darlington ........................................ 143

Florence ............................................ 145

Horry ..................................................149

Marion ............................................... 156

Marlboro .......................................... 157

Williamsburg ...................................158


Horry ..................................................150

Dermatology

Horry ................................................... 95

Diagnostic Center

Florence ............................................ 145

Horry ..................................................150


37719585


D - cont.

E

F

G

H

I

L

Diagnostic Imaging

Florence ............................................146

Horry ................................................... 151

Dialysis

Chesterfield .................................... 142

Darlington ........................................ 143

Dillon .................................................. 144

Florence ............................................146

Horry ................................................... 151

Marion ............................................... 156

Marlboro .......................................... 157

Williamsburg ...................................158


Chesterfield .................................... 142

Darlington ........................................ 143

Dillon .................................................. 144

Florence ............................................ 147

Horry .................................................. 192

Marion ............................................... 156

Marlboro .......................................... 157

Williamsburg ...................................158

Ear Nose & Throat

Darlington ......................................... 42

Florence ............................................. 58

Horry .................................................. 192


Dillon ................................................... 49

Florence ............................................. 59

Horry ...................................................96

Family Practice

Chesterfield .................................... 159

Darlington ......................................... 161

Dillon .................................................. 167

Florence ............................................. 171

Horry .................................................. 193

Marion ............................................... 129

Marlboro .........................................244

Williamsburg ..................................246


Chesterfield .................................... 142

Darlington ........................................ 162

Dillon .................................................. 167

Florence ............................................. 171

Horry ................................................ 200

Marion .............................................. 243

Marlboro .........................................244

Williamsburg ..................................246

Gastroenterology

Florence .............................................. 61

Horry ................................................ 200

Williamsburg ................................... 132

General Practice

Darlington ............................................4

Florence ................................................11

Horry ................................................ 200

Marlboro ............................................37

Williamsburg ..................................246

General Surgery

Chesterfield ..................................... 39

Darlington ......................................... 44

Dillon ................................................... 49

Florence ............................................. 63

Horry ..................................................201

Marion ............................................... 129

Marlboro ........................................... 131

Williamsburg ................................... 132

Hand Surgery

Darlington ......................................... 44

Florence ............................................. 63

Horry .................................................. 103


Florence ............................................. 64

Horry ..................................................104

Home Health Care

Florence ............................................ 147

Horry .................................................. 154

Hospital

Chesterfield .................................... 134

Darlington ........................................ 135

Dillon .................................................. 136

Florence ............................................ 137

Horry .................................................. 138

Marion ............................................... 139

Williamsburg ...................................140

Infectious Disease

Chesterfield ..................................... 39

Darlington ......................................... 44

Florence ............................................. 65

Horry ..................................................104

Infusion Therapy

Florence ............................................148

Horry .................................................. 154

Internal Medicine

Chesterfield ......................................... 1

Darlington ......................................... 44

Dillon ......................................................6

Florence ............................................ 172

Horry ..................................................201

Marion ............................................... 130

Marlboro ........................................... 131

Williamsburg ................................... 132


Florence ............................................. 67

Horry ..................................................108


All .......................................................... 141

Florence ............................................148

Horry .................................................. 154

Marion ............................................... 156


37719585


L - cont.

M

N

Williamsburg ...................................158


Chesterfield .................................... 159

Darlington ........................................ 162

Dillon .................................................. 167

Florence ............................................ 172

Horry .................................................205

Marlboro .........................................244

Williamsburg ..................................246


Darlington ........................................ 162

Dillon .................................................. 167

Florence ............................................ 172

Horry .................................................205

Licensed Marriage And Family Therapist

Horry .................................................205

Marlboro .........................................244

Licensed Mental Health Coun-selor

Florence ............................................ 173


Chesterfield .................................... 159

Darlington ........................................ 163

Dillon .................................................. 167

Florence ............................................ 177

Horry ................................................... 211

Marion .............................................. 243

Marlboro .........................................244

Williamsburg ..................................246


Florence ............................................ 177

Horry ................................................... 211


Florence ............................................. 67

Medical Oncology

Florence .............................................68

Horry ..................................................108


Florence .............................................68

Nephrology

Darlington ......................................... 44

Florence .............................................69

Horry ..................................................109

Williamsburg ................................... 132


Chesterfield ..................................... 39

Florence .............................................69

Neurology

Chesterfield ..................................... 40

Dillon ....................................................53

Florence ..............................................73

Horry ................................................... 211

Neuropsychology

Darlington ......................................... 44

Florence ..............................................73

Neuroradiology

Darlington ......................................... 44

Florence ..............................................73

Neurosurgery

Florence ............................................. 74

Horry .................................................. 212


Florence ............................................180

Horry .................................................. 217


Chesterfield .................................... 159

Horry .................................................. 217

Marlboro .........................................245


Chesterfield ....................................160

Darlington ........................................ 165

Dillon ..................................................168

Florence ............................................182

Horry ................................................. 223

Marion .............................................. 243

Marlboro .........................................245

Williamsburg ..................................247


Chesterfield ....................................160

Florence ............................................ 183


Darlington ........................................ 165

Horry ................................................. 223

Williamsburg ..................................247

Nurse Practitioner Psychiatric Mental Health

Darlington ........................................ 165

Horry ................................................. 223


Florence ............................................ 183

Horry .................................................224

Nurse Practitioner

Chesterfield .................................... 159

Darlington ........................................164

Dillon .................................................. 167

Florence ............................................180

Horry .................................................. 217

Marion .............................................. 243

Marlboro .........................................245

Williamsburg ..................................247

Nutrition

Florence ............................................ 183

Horry .................................................224


37719585


O

P


Chesterfield ..................................... 40

Darlington ........................................ 165

Dillon ................................................... 54

Florence ............................................. 76

Horry .................................................224

Marion ............................................... 130

Marlboro ........................................... 131

Williamsburg ................................... 132


Darlington ........................................ 165

Florence ............................................ 183

Horry .................................................226

Ophthalmology

Chesterfield ..................................... 40

Darlington ......................................... 45

Dillon ................................................... 54

Florence ............................................. 78

Horry ................................................... 114

Optician

Darlington ......................................... 46

Florence ............................................. 78

Horry ................................................... 114

Optometry

Chesterfield ...................................... 41

Darlington ......................................... 47

Dillon ................................................... 54

Florence .............................................80

Horry ................................................... 118

Marion ............................................... 130

Marlboro ........................................... 131

Williamsburg ................................... 132


Florence .............................................80

Orthopaedic Surgery

Darlington ......................................... 48

Dillon ................................................... 55

Florence ............................................184

Horry ..................................................120

Marion ............................................... 130

Marlboro ........................................... 131

Williamsburg ................................... 133


Darlington ........................................ 143

Florence ............................................148

Horry .................................................. 155

Pain Management

Florence ............................................. 82

Horry ..................................................120

Pediatric Cardiology

Florence ............................................. 83


Florence ............................................. 83

Pediatric Surgery

Horry ..................................................120

Pediatrics

Chesterfield ....................................160

Darlington ........................................166

Dillon ..................................................168

Florence ............................................. 83

Horry .................................................226

Marion .................................................35

Marlboro .........................................245

Physical Medicine & Rehabilita-tion

Florence ............................................. 83

Physical Therapy

Darlington ........................................166

Dillon ..................................................168

Florence ............................................185

Horry ................................................. 233

Marion .............................................. 243

Marlboro .........................................245


Florence ............................................187

Horry .................................................236

Physician Assistant Orthopedics

Horry .................................................236

Physician Assistant

Darlington ........................................166

Florence ............................................187

Horry .................................................236

Marion .............................................. 243


Florence ............................................. 83

Horry ................................................... 121

Podiatry

Florence ............................................. 84

Horry .................................................236

Williamsburg ................................... 133

Preventive Medicine

Florence ............................................. 84


Chesterfield ....................................160

Florence ............................................188

Horry .................................................236

Marion .............................................. 243

Marlboro .........................................245

Psychiatry

Chesterfield ...................................... 41

Darlington ........................................166

Florence ............................................. 85

Horry .................................................. 122

Psychology

Dillon ................................................... 55

Florence .............................................86

Horry .................................................. 122

Williamsburg ................................... 133

Pulmonary Disease

Darlington ......................................... 48

Florence ............................................. 87

Horry .................................................. 122


37719585


R

S

T

U

V

Radiation Oncology

Florence ............................................. 87

Horry .................................................. 123

Radiology - Interventional & Vascular

Florence ............................................. 87

Williamsburg ................................... 133


Florence ............................................148

Retail

Chesterfield ...................................248

Darlington .......................................249

Dillon .................................................250

Florence ........................................... 252

Horry .................................................256

Marion .............................................. 257

Marlboro .........................................258

Williamsburg ..................................259

Rheumatology

Florence .............................................88

Horry .................................................. 123

Rural Health Center

Marion ................................................ 36


Horry .................................................. 155

Marion ............................................... 156

Marlboro .......................................... 157


Dillon .................................................. 144

Florence ............................................148

Horry .................................................. 155


Darlington ........................................166

Florence ............................................188

Horry .................................................239

Marion .............................................. 243

Speech Therapy

Florence ............................................188

Horry ..................................................241

Marion .............................................. 243

Williamsburg ..................................247

Sports Medicine

Darlington ......................................... 48

Florence .............................................88

Substance Abuse

Florence ............................................189


Florence .............................................89

Horry ..................................................241

Thoracic Surgery

Florence ............................................189

Horry .................................................. 124

Williamsburg ................................... 133

Urology

Darlington ......................................... 48

Dillon ................................................... 55

Florence .............................................90

Horry .................................................242

Marion ............................................... 130

Williamsburg ................................... 133

Vascular Surgery

Chesterfield ...................................... 41

Florence ............................................189

Horry ..................................................128


37719585

Indexes

Extended Hours Index

You can find a provider who has longer office hours in this index. First look for the provider’s

name. Then check the county and page number. You can go to that page to get the provider’s

office hours.

Indice de horarios extendidos: En este índice, usted puede encontrar un proveedor con horario

más prolongado de atención en el consultorio. Primero busque el nombre del proveedor, y

luego verifique el condado y el número de página. Consulte esa página para obtener el horario

de atención del proveedor.

Chesterfield

Darlington

Dialysis

Pageland Dialysis ............................ 142


Bridges And Jamesinc Wannamaker Drug ........................ 142

Family Practice

Maxwell, Crystal MD ......................... 1

Hospital

Mcleod Health Cheraw .............. 134

Internal Medicine

Edosomwan, Emmanuel MD ......... 1


Etheridge, Martin LPC .................. 159

Evans, Patricia LPC ......................... 159

Wallace, Panora LPC .................... 159

Neurology

Almidani, Mazen MD ..................... 39

Corti, Sandro MD ........................... 39

Khishchenko, Natan MD ............. 39

Li, Sui MD ............................................ 39

Mehari, Tigist MD ........................... 40

Mendelson, Joshua MD ................ 40

Murtaza, Amir MD .......................... 40

Newman, Richard MD .................. 40

Null, Elizabeth MD ......................... 40

Patel, Neil MD .................................. 40

Optometry

Covington, Al OD ........................... 40


Ellison, Beatrice LPC .....................160

Retail

CVS Pharmacy ................................248

Chesterfield Drug Company ...248

Csc Community Pharmacy ......248

Harseys Pharmacy ........................248

P & H Pharmacy .............................248

Pageland Family Pharmacy .......248

Sandhills Medical Pharmacy ....248

Walmart Pharmacy ......................248

Wannamaker Drug .......................248

Wannamakers Drug Store ........248


Pee Dee Mental Health Center ................................................................. 143

Ear Nose & Throat

Dyce, Orville MD ............................ 42

Family Practice

Brewton, Mary DO ........................ 43

Council, Angela APRN .................. 161

Dickinson, Elizabeth MD ............. 43

Dickinson, Thomas MD ...................2

Howington, Bryan MD ................. 43

Lanning Lowther, Lisa DO .......... 43

Mohr, Richard MD .......................... 43

Padgett, Edwin MD ........................ 43

General Surgery

Bannister, Carroll MD ................... 43

Hospital

Carolina Pines Regional Medical Center ................................................. 135

Mcleod Medica Center Darlington ......................................... 135

Infectious Disease

Aduako, Cecilia MD ....................... 44

Internal Medicine

Aduako, Cecilia MD ..........................4


Pressley, Veronica LPC ................ 163

Serafin, Jeremy LPC ...................... 163

Neuropsychology

West, Jesse PHD .............................. 44


Alexander, Heather APRN .........164

Tedder, Tona APRN ......................164


37719585


Darlington - cont.

Dillon

Woodward, Tracie APRN .......... 165


Jackson, Haley APRN .................... 165

Mcleod, Casey APRN ................... 165

Moore, Casey APRN ..................... 165

Nurse Practitioner

Boster, Elizabeth APRN ............... 163

Wicker, Maryum APRN ...............164


Ingram, Irene OT ............................ 165

Optician

Eyes Over Carolina PC ................. 45

Walmart Vision Center ................ 46

Optometry

Brinton, Evan OD ............................ 46

Mitchell, Edwin OD ........................ 46

Panicker, Jaison OD ........................ 47

Scruggs, Miles OD .......................... 47

Zeplin, Vincent OD ........................ 47

Pediatrics

Budhram, Solomon MD ..................4

Japitana, Marian MD .........................5

Morphis, James MD ...........................5

Ovanna Budhram, Joni MD ...........5

Psychiatry

Tohid, Usman PA ...........................166

Pulmonary Disease

Barnard, Mark MD .......................... 48

Retail

CVS Pharmacy ................................249

Carolina Drug Store Inc .............249

Csc Community Pharmacy ......249

Csc Community Pharmacy-Society Hill ................249

Darlington Family Pharmacy ....249

Hartsville Drug Company Inc ..249

Lamar Family Pharmacy .............249

Nursing Home Dispensary ........249

Professional Pharmacy ...............249



Reames, Danielle SLP ...................166


Torgersen, Keith CRNA ............... 167

Chiropractic

Cline, Matthew DC ........................ 49

Nodrick, Deborah MD .................. 49

Family Practice

Fitzgibbon, Timothy MD ................6

Freel, Paul MD .....................................6

Shealy, Robin MD ..............................6

Vance, Stephen MD .........................6

Hospital

Mcleod Medical Center Dillon 136

Neurology

Abalsom, Nicholas MD ................ 49

Aguilar, Maria MD ........................... 49

Almidani, Mazen MD ..................... 49

Avila, Amanda MD .......................... 49

Baluja, Vivek MD ............................. 50

Behravan, Vahid MD ...................... 50

Bixler, Christopher MD ................ 50

Borte, Bernadette MD .................. 50

Boudreau, Michelle DO ............... 50

Bradley, Nina DO ............................ 50

Cheshire, Amanda MD ................. 50

Chumble, Shubhangi MD ............ 50

Colongarcia, Patricia MD ............ 50

Corti, Sandro MD ........................... 50

Dhadwal, Neetu MD ..................... 50

Feliciano, Carlos MD ..................... 50

Figueroa Garcia, Alberto MD .... 50

Floyd, Jessica MD ............................. 51

Friedman, Mark DO ........................ 51

Gupta, Raina MD .............................. 51

Heller, Adam MD ............................. 51

Jimenez-Sanders, Rebecca MD . 51

Khishchenko, Natan MD .............. 51

Lamar, Cory MD ............................... 51

Li, Sui MD ............................................. 51

Lue, Stanley MD ............................... 51

Masud, Muhammad MD ............... 51

Mcdonald, Mark MD ...................... 51

Mednick, Adam MD ....................... 51

Mendelson, Joshua MD ................. 51

Meyers, Clifford MD ..................... 52

Mojumder, Deb MD ...................... 52

Mowzoon, Mina MD ..................... 52

Murtaza, Amir MD .......................... 52

Nagaraja, Harsha MD .................... 52

Newman, Richard MD .................. 52

Null, Elizabeth MD ......................... 52

Patel, Neil MD .................................. 52

Plancher, Joao Mc-Oneil MD .... 52

Riordan, Katherine MD ................. 52

Saha, Sam MD .................................. 52

Sebesto, Jason DO ......................... 52

Sevilis, Theresa DO .........................53

Snyder, Michael MD .......................53

Sombutmai, Chut DO ....................53

Tigist, Mehari MD ............................53

Vajapey, Geetanjali MD ................53

Valanta, Douglas MD ......................53

Vega, Jose MD ...................................53

Vidgop, Yelana MD .........................53

Won, Mai MD ....................................53

Zaman, Mohammed DO ..............53


Climer, Clyde MD ............................53


37719585


Dillon - cont.

Florence

Pediatrics

Ramirez, Yvonne MD .......................6

Willard, Samantha APRN ............168

Retail

CVS Pharmacy ................................250

Csc Community Pharmacy-Latta ................................................................250

Dillon Community Pharmacy ..250

Latta Drug Co Inc .........................250



Williamson, Heather LCSW ......169


Bird, Bryan CRNA ...........................169

Eastep, Alyson CRNA ...................169

Jones, Karen CRNA ........................169

Jones, Trisha CRNA .......................169

Smith, Allan CRNA ........................170

Thomas, Brady CRNA ..................170

Tyner, Christopher CRNA .........170

Chiropractic

Bergrin, Jon DC ................................. 57

Ferrigno, Michael DC .................... 57

Gittens, David DC ........................... 58

Hutcheson, Brian DC ..................... 58

Jordan, Chucky DC ......................... 58

Patel, Kunal DC ................................ 58

Stone, Amanda DC ........................ 58

Wenner, Bryan DC ......................... 58


Carter, Kaycee CSW ...................... 171



Diagnostic Imaging

Palmetto Imaging Inc DBA Florence MRI ....................................146

Dialysis

Fresenius Kidney Care Florence Home ...................................................146

Fresenius Kidney Care Florence Medical M .........................................146


K J Pharmacy 129 .............................146


Culleton, John MD .......................... 59

Family Practice

Artis Bacote, Karen NP ....................7

Booth, John MD ..................................8

Brewton, Mary DO ........................ 59

Browning, Gregory MD ...................8

Bruce, Valarian MD ........................ 59

Dickinson, Elizabeth MD ............. 59

Dickinson, Thomas MD ...................8

Hanna, Brian MD ................................8

Howington, Bryan MD ................. 59

Hoyle, Joseph MD .............................9

Hyler, Daniel MD ................................9

Lanning Lowther, Lisa DO .......... 59

Mohr, Richard MD ..........................60

Morgan, Patrick MD .......................60

Morris, Judy NP ................................. 10

Moskos, Frank MD ..........................60

Padgett, Edwin MD ........................60

Scott, Michele MD .......................... 10

Scott, Sonja ARNP .......................... 171

Singh, Varinder MD ......................... 10

Speaks, Dominique ARNP ........... 171

Strauss, Louis MD ...........................60

Zeleke, Akal MD ..............................60


Barrett, Alan PA ............................... 171

Home Health Care

Loving Arms Home Care LLC .. 147

Hospital

Lake City Community Hospital 137

Mcleod Regional Medical Center ................................................................. 137

Musc Health Florence Medical Center ................................................. 137

Infectious Disease

Olatosi, Akinwale MD ................... 65

Internal Medicine

Adabala, Nivedita MD .....................11

Charyalu, Maddalithirumala MD .................................................................. 65

Licari, Nicholas APRN ................... 171

Lyles, Kelly MD ...................................12

Matthews, Debbie ARNP ........... 172

Motiani, Rishika MD .........................12

Poston, Michelle APRN ............... 172

Proffer, Katherine ARNP ............ 172

Singh, Harmohan MD ....................66

Smith, Richard DO ...........................12


Black, Sharon CSW ........................ 172

Blackmon, Tomekia LCSW ........ 172

Brady, Melissa CSW ...................... 172

Oeffinger, Rebecca CSW ........... 172

Sanders, Lecole LCSW ................ 172

Wilson, Toni Marie CSW ............ 172


37719585


Florence - cont.


Graves, Antonia LSW ................... 172

Licensed Mental Health Coun-selor

Malvarosa, Paul LPC ...................... 173


Bakas, Efstasia LPC ........................ 173

Daniels, Prezillic LPC ..................... 173

Dennis, Brandi LPC ........................ 173

Durant, Kelvin LPC ........................ 173

Elkins, Jennifer LPC ........................ 173

Fulcher, Rosanne LPC .................. 173

Fuller, Clara LPC .............................. 173

Gonzales Acevado, Camille LPC ................................................................. 174

Graham, Carrie LPC ...................... 174

Jefferson, Samantha LPC ............ 174

Kahn, David LCSW ........................ 174

Knight, Aimee LPC ......................... 174

Langley, Laura LPC ........................ 174

Lobo, Vanessa LPC ........................ 174

Lownsberry, Erick LPC ................. 174

Macaluso, Sherry LPC .................. 174

Martin, John LPC ............................ 174

Mazgaj, Jamie LPC .......................... 174

Mcclam, Andrea LPC .................... 175

Mcdaniel, Anita LPC ..................... 175

Muldrow, Javonnia LPC ............... 175

Nance, Clyde LPC .......................... 175

Rintelman, Michael LPC .............. 175

Rogers, Mary LPC ........................... 175

Rush, Amy LPC ................................ 175

Simon-Mcqueen, Ryedenna LMHC .................................................. 175

Stewart, Martha LPC .................... 176

Townsend, Anna LPC ................... 176

Tyner, Faith LPC ............................. 176

Wallace, Donya LPC ..................... 176

Whitman, Gretchen LPC ............ 176

Williams, Misty LPC ...................... 177


Wright, Carol LSW ........................ 177


Moeckel, Douglas MD ..................68

Nephrology

Alsaka, Mhd MD ..............................68

Regmi, Subash MD .........................69


Smock, Alison MD ..........................69

Neurology

Abalsom, Nicholas MD ................69

Aguilar, Maria MD ...........................69

Amir, Murtaza MD ..........................69

Avila, Amanda MD ..........................69

Baluja, Vivek MD .............................69

Behravan, Vahid MD ......................69

Bixler, Christopher MD ................69

Borte, Bernadette MD .................. 70

Boudreau, Michelle DO ............... 70

Bradley, Nina DO ............................ 70

Cheshire, Amanda MD ................. 70

Chumble, Shubhangi MD ............ 70

Colon-Garcia, Patricia MD .......... 70

Corti, Sandro MD ........................... 70

Dhadwal, Neetu MD ..................... 70

Feliciano, Carlos MD ..................... 70

Figueroa Garcia, Alberto MD .... 70

Floyd, Jessica MD ............................ 70

Friedman, Mark DO .........................71

Gupta, Raina MD ...............................71

Heller, Adam MD ..............................71

Jimenez-Sanders, Rebecca MD ..71

Kass, Robin MD ..................................71

Lamar, Cory MD ................................71

Li, Mian MD .........................................71

Li, Sui MD ..............................................71

Lue, Stanley MD ................................71

Masud, Muhammad MD ................71

Mcdonald, Mark MD ..................... 72

Mednick, Adam MD ...................... 72

Mehari, Tigist MD ........................... 72

Meyers, Clifford MD ..................... 72

Mojumder, Deb MD ...................... 72

Mowzoon, Nima MD .................... 72

Nagaraja, Harsha MD .................... 72

Patel, Neil MD .................................. 72

Plancher, Joao Mc-Oneil MD .... 72

Riordan, Katherine MD ................. 72

Saha, Sam MD .................................. 72

Sebesto, Jason DO ..........................73

Sevilis, Theresa DO .........................73

Shissias, Charles MD .......................73

Snyder, Michael MD .......................73

Sombutmai, Chut DO ....................73

Vajapey, Geetanjali MD ................73

Valanta, Douglas MD ......................73

Vidgop, Yelana MD .........................73

Won, Mai MD ....................................73

Zaman, Mohammed DO ..............73

Neuropsychology

Hagan, Timothy MD .......................73


Brown, Angel APRN ......................180

Freeman, Deana APRN ................180

Fulwood, Karen APRN .................180

Gainey, Cynthia APRN ................180

Lawrimore, Cynthia APRN .......... 181

Peters, Jon APRN ............................. 181

Smith, Morgan APRN ...................182

Timmons, Brittany APRN ...........182

Weaver, Timothy APRN .............182


Kight, Paige APRN ..........................182

Nurse Practitioner

Chinich, Caren CNP ...................... 177


37719585


Florence - cont.

Horry

Foxworth II, Michael MD ..............12

Gage, Julie CNP ............................... 177

Gude, Adam CNP ..........................178

Hamer, Melissa APRN ..................178

Hopla, Deborah CNP ...................178

Hucks, Julia APRN ...........................178

Lynam, Brett APRN .......................178

Mitchell, Mary CNP ......................178

Potter-Hare, Brandi APRN ......... 179

Pritchard, Pamela APRN ............. 179

Rogers, Katelyn APRN ................. 179

Samuel, Laura APRN ..................... 179

Stephen, Natasha CNP ............... 179

Thompson, Taylor APRN ........... 179

Wicker, Maryum APRN ...............180

Nutrition

Finklea, Kitty RD ............................. 183


Tollison, Steven MD ...................... 76

Optician

Eyemart Express LLC ..................... 78


Optometry

Bergelt, Solita OD ........................... 79

Brooks, Michelle OD ..................... 79

Hobbs, Steven OD ......................... 79

Zeplin, Vincent OD ........................80

Pediatrics

Collins, Charles MD .........................12

Elder, Benjamin MD .........................13

Graham, Toney MD .........................13

Hartzog, Timothy MD .................. 83

Minter, Ellen Patrice MD ...............13

Montes-Ramos, Camille MD .......13

Naylor, Brian MD ..............................13

Physical Therapy

Belser Jr, Roy PT ..............................184

Bushman, Michael PT ...................184

Floyd, Whitney PT .........................184

Mcabee, Andrew PT .....................185

Physician Assistant

Barrett, Alan PA ..............................185

Black, Neicole PA ...........................185

Knippen, Elizabeth PA .................186

Pittard, Michelle PA ......................186

Thomas, Julie PA .............................186

Podiatry

Baker, Jordanna DPM .................... 83

Preventive Medicine

Leisy, Heather MD .......................... 84


Bendle, Lakyn LPC .........................187

Daniels, Prezillic LPC .....................187

Durant, Kelvin LPC ........................187

Fuller, Clara LPC ..............................187

Malvarosa, Paul LPC ......................187

Moore, Christopher LPC ............187

Roberts, Kimberly LPC ................187

Simon Mcqueen, Ryedenna LPC .................................................................188

Psychiatry

Reusche, Christian MD ................. 84

Shissias, Charles MD ...................... 85

Psychology

Adams, Carol CP ............................. 85

Adams, Leah PSYD ......................... 85

Anderson, Jason PSYD .................. 85

Hunter, William PSYD .................. 85

Jackel, Lisa PHD ................................ 85

Pritchard-Boone, Andrea PHD . 85

Sanders, Alexis PHD ....................... 85

Scearce, Edward PSYD .................86

Steele, Patrick CP ............................86


Healthsouth Rehabilitation Hospital Of F ...................................148

Retail

Advantage Pharmacy And Wellness ............................................. 251

CVS Pharmacy ................................. 251

Careplusrx Pharmacy ................... 251

F & L Drug Store ............................. 251

Kjs Pharmacy 129 ............................ 251

Longs Drug ........................................ 251

M & D Drug Company ................. 251

Mcleod Outpatient Pharmacy 251

Medicine Mart ................................ 251

Omnicare Of Florence ................ 251

Palmetto Prescription Center . 251

Pamplico Pharmacy ...................... 251

Piggly Wiggly Pharmacy ............ 252

Professional Pharmacy Of Olanta ................................................................ 252

Sams Club Pharmacy ................... 252

The Medicine Cabinet ................ 252

The Pharmacy ................................. 252

Timmonsville Pharmacy ............ 252

Vistara Pharmacy .......................... 252

Wall Drugs Of Johnsonville Inc ................................................................ 252

Wall Drugs Of Pamplico Inc .... 252

Walmart Pharmacy ...................... 252

Well Center Pharmacy ............... 252

Rheumatology

Turner III, Robert MD ....................88


Hudson, Linda APRN ....................190


37719585


Horry - cont.


Horry County Commission On Alcohol Drug ....................................149


Post, Moira CRNA ......................... 192


Andrada, Marta CNM .................. 192

Chiropractic

Cline, Matthew DC ........................ 94

Hemingway, Jenica DC ................. 94


Beck, Marcia CSW ......................... 192

Davis, Rochelle LCSW ................. 192


Minuteclinic Diagnostic South Carolina ..............................................150

Minuteclinic LLC ............................150

Dialysis

Myrtle Beach Dialysis .................... 151


Apria Healthcare LLC .................... 151

Wright, Lisa MD .............................. 153

Family Practice

Borst, Christopher MD .................. 15

Brown, Alexis MD ............................ 15

Cress, Lyndsi DO .............................. 15

Eaton, Richard MD .......................... 15

Halyard, Jeanne MD ........................ 16

Haynes, Jennifer APRN ................ 193

Insignares, Luis MD ...........................17

Joslin, Richard MD ............................17

Mcginley, Christine DO ................ 18

Meixel, Steven MD ......................... 18

Nirenstein, Michael MD ................ 19

O'connor, William MD .................. 19

Ross, Scott MD ................................ 20

Stone, Kaitlin APRN ...................... 193

Surratt, Susan ARNP ..................... 193

Vandergriff, Joseph MD .................21

Vinson, Tiffany MD ..........................21

Wilkoszewski, Artur MD ................21


Andrada, Marta CNM ..................194

Bush, Crystal CSW .........................194

Buster, Linda APRN .......................194

Davis, Rochelle LCSW ................. 195

Doud-Kearns, Tina ARNP ........... 195

Elliott, Alexis LSW ......................... 195

Freeman, Katherine APRN ......... 195

Gerrald, Amanda APRN .............. 195

Grady, Cynthia MD ....................... 153

Hajar, Lina MD ...................................23

Halyard, Jeanne MD ........................23

Harris, Sarah APRN ........................ 195

Haynes, Jennifer APRN ................ 195

Hudson, Linda APRN ....................196

Insignares, Luis MD ..........................23

Kuball, Lyn-Marie APRN .............196

Little River Medical Center ........ 24

Mcginley, Christine DO ............... 24

O'connor, William MD ................. 25

Painter, Autumn APRN ................ 197

Taylor, Laura MD ........................... 154

General Practice

Turek, James MD ............................. 26


Brown, Dejuania DO ..................... 103

Goldberg, Renwick MD ............... 103

Henderson, Jordan DO ............... 103

Touloukian, Emily DO ..................104

Hospital

Grand Strand Regional Medical Center ................................................. 138

Mcleod Loris Seacoast Ho ........ 138

Internal Medicine

Allen, Sarah MD ............................... 27

Brazee, Jacob DO ............................ 27

Hassan, Alkhatib MD ....................106

Mclaughlin, Matthew DO ..........106

Remines, Michael DO ................... 29

Swift, Catherine MD ....................107

Varney, Michael MD ...................... 29


Bovey, Diantha LSW ....................202

Bush, Crystal CSW ........................202

Jackson, Debbie CSW .................202

Lewis, Kellie CSW .........................202

Lyons, Ruth LCSW ........................202

Mcfarland, Lindsey CSW ...........203

Nelsen, Cara LCSW ......................203

Nixon, Bevin CSW ........................203

Norman, Mary CSW ....................203

Robinette, Lester CSW ..............204

Roman, John LCSW ......................204


Elliott, Alexis LSW ........................205


Beres, Danielle LMFT ...................205

Carter, Robert LMFT ...................205


Anderson, Jill LPC ..........................206

Bogle, Roberta LPC ......................206

Bulsza, Susan LPC ..........................206

Campbell, Thomas LPC ..............206

Cantley, Amy LMHC ...................206


37719585


Horry - cont.Davis, Nancy LPC ..........................207

Dennis, Brandi LPC .......................207

Everhart Lachnicht, Ashley LPC ................................................................207

Fortune, Jane LPC .........................207

Frasier, Colisha LPC ......................207

Goodall, Kristina LPC ..................207

Goyeneche, Paola LPC ...............207

Harper, Phillip LPC ........................208

Harrington, Teressa LPC ............208

John Deloaceh ............................... 208

King, Ellen LPC ................................208

Lookadoo, Brian LPC ...................208

Lynch, Bruce LPC ..........................208

Malkasian, Loren LPC ..................209

Malkasian, Paul LPC ......................209

Martin, Laura LPC .........................209

Mccarthy, Robert LPC ................209

Mcgonigal, Jennifer LPC .............209

Mercer, Amanda LPC ..................209

Onley Livingston, Angel LPC ...209

Pickett, Michael LPC ....................210

Stewart, Caren LPC .......................210

Stutler, Tammy LPC ......................210

Unger, Patricia LPC ........................210

Whitman, Gretchen LPC ............. 211

Medical Oncology

Paudel, Vijay MD ............................108

Neurology

Almidani, Mazen MD ....................109

Colongarcia, Patricia MD ...........109

Figueroa Garcia, Alberto MD ...109

Khishchenko, Natan MD ............109

Mcdonald, Mark MD ....................109

Mendelson, Joshua MD ...............109

Newman, Richard MD ..................110

Null, Elizabeth MD .........................110

Vega, Jose MD ..................................110

Vidgop, Yelana MD ........................110


Anderson, Alicia APRN ................218

Belschner, Rebecca APRN .........218

Brown, Tisha APRN .......................218

Butbul Benezra, Vered APRN ...218

Byrd, Mary APRN ...........................218

Crawford, Stephanie APRN ......219

Crum, Christopher APRN ...........219

Farley, Colleen APRN ..................220

Freeman, Katherine APRN ........220

Gibbs, Ashley APRN ..................... 221

Hewitt, Brenda APRN .................. 221

Hightower, Stephanie APRN .... 221

Lee, Jennifer APRN ....................... 222

Menser, Cheryl APRN ................. 222

Painter, Autumn APRN ............... 222

Schultz-Peters, Sandra APRN .. 223

Smith, Justin CNP .......................... 223

Smith, Tara APRN ......................... 223

Stanley, Regina APRN ................. 223

States, Lindsey APRN .................. 223


Bruce, Amanda APRN ................. 223

Gerrald, Amanda APRN ............. 223

Nurse Practitioner

Anderson, Alicia NP ....................... 29

Batten, Ashley APRN .................... 212

Brinegar, Angela APRN ................ 212

Buster, Linda APRN ....................... 213

Dorr, Rachel APRN ........................214

Dorr, Rachel NP ............................... 29

Doud-Kearns, Tina ARNP ...........214

Harris, Sarah APRN ........................ 215

Kuball, Lyn-Marie APRN ............. 215

Lang, Yolanda APRN .................... 215

Moleins, Dawn APRN ................... 215

Wilson, Ryan APRN ....................... 217


Grady, Cynthia MD ........................ 112


Arthur, Rachel OT ........................224

Brunson, Monica OT ...................224

Dixon, Heather OT ......................224

Egan, Brad OT .................................224

Farnill, Leslie OT ............................ 225

Hafenbreidel, Jill OT .................... 225

Hardee, Katherine OT ................ 225

Lewis, Katie OT .............................. 225

Mims, Teresa OT ........................... 225

Prock, Kelly OT .............................. 225

Roberts, Juliet OT ......................... 225

Stull, Ashley OT ............................. 225

Tardy, Paul OT ...............................226

Torosian, Valeriya OT .................226

Williams, Taylor OT .....................226

Optician

Eyemart Express LLC ..................... 114

Mgb Eyes Inc ..................................... 114


Optometry

Allouch, Fouad OD ........................ 115

Caugh, Kurtis OD ............................ 115

Creson, Stuart OD ......................... 116

Graham, Lauri OD ........................... 116

Lee, Amanda OD ............................ 116

Merhi, Eva OD .................................. 116

Poole, R Gary OD ........................... 116

Vaught, Heather OD ..................... 117

Vaught, James Dylan OD ............. 117

Vaught, James OD .......................... 117

Weiner, Edward OD ...................... 117

Wise, Garett OD ............................. 118

Zeplin, Vincent OD ........................ 118

Pediatrics

Corontzes, Stephen MD ...............31

Eglen, Rebecca MD ..........................31


37719585


Horry - cont.Hajar, Lina MD ...................................32

Hall, Megan DO ..............................120

Pelinka, Sarah APRN ....................226

Wakefield, Hannah MD ..............120

Physical Therapy

Congdon, Karyn PT ...................... 227

Demarco, Donna PT ....................228

Fitzgerald, John PT ........................228

Foster, Karen PT ............................228

Gibson, Elizabeth PT ...................229

Kunz, Rachel PT .............................230

Laspada, Raymond PT ................. 231

Montenery, Jason PT .................... 231

Patton, Melissa PT ......................... 231

Pecylak, Colleen PT ...................... 231

Singh, Githa PT ............................... 232

Physician Assistant

Deshon, Laurie PA ........................ 234

Frye, Fritz PA ................................... 234

Loomis, Alexandra PA ................. 235

Melgar, Tammy PA ....................... 235

Offenback, Richard PA ............... 235

Roode, Richard PA ....................... 235

Shaver, Robin PA ........................... 235

Troutman, Ina PA .......................... 235

Tumbleson, Catherine PA .........236


White, Steven MD ......................... 121


Murray, David LPC .......................236

Okenfuss, Tina LPC ......................236

Talbert, Wendy LPC ....................236

Psychiatry

Oduwole, Adedapo MD .............. 121

Retail

Atlantic Apothecary ................... 253

Aynor Family Pharmacy ............. 253

CVS Pharmacy ................................254

Carolina Forest Pharmacy ........254

Carolina Health Pharmacy ........254

Cherry Grove Drug ......................254

Conway Pharmacy .......................254

Costco Pharmacies ......................254

Golden Town Pharmacy ...........254

Kroger Drugstore ..........................254

Kroger Pharmacy ..........................254

Kroger Sav-On ...............................254

Loris Drug Store ............................254

Medicine Mart ...............................255

Nyes Pharmacy ..............................255

Ocean Lakes Pharmacy ..............255

Publix Super Markets ..................255

Rivertown Pharmacy Inc ...........255

Sams Club Pharmacy ...................255

Seashore Drugs ..............................255

Sherrys Meds And More Pharmacy ..........................................255

The Medicine Shoppe ................255

Walgreens Drug Store ................255


Waterway Pharmacy ..................256


Carolina Healthcare Inc DBA Compass Post .................................. 155

Conway Manor ............................... 155


Coastal Sleep Lab Inc .................. 155


Ard, Kimberly SLP .........................236

Bellavia, Lisa SLP ............................ 237

Blakely Wheeler, Valerie SLP ... 237

Britt, Josie SLP ................................. 237

Brown, Natalie SLP ....................... 237

Carey, Amanda SLP ...................... 237

Combs, Susan SLP ........................ 237

Crowninshield, Jessica SLP ....... 237

Cusack, Shemeka SLP ................. 237

Dinello, Kaylee SLP ....................... 237

Fitzpatrick, Christine SLP ........... 237

Frye, Amanda SLP ......................... 237

Gibbons, Laura SLP ...................... 237

Glover, Farrah SLP ........................ 237

Johnson, Nia SLP ........................... 237

Jones Brown, Jacqueline SLP ...238

Jones, Michelle SLP ......................238

Kellahan, Meredith SLP ..............238

Lehman, Annie SLP .......................238

Merriman, Lisa SLP .......................238

Palmer, Susan SLP .........................238

Price, Stacie SLP ............................238

Rogers, Cheryl SLP .......................238

Stewart, Danielle SLP ..................238

Truesdale, Lakisha SLP ................238

Walker, James SLP ........................238

Warren, Michelle SLP ..................238

Weingart, Kristin SLP ...................239

White, Cameron SLP ...................239

Wilson, Tanya SLP ........................239

Speech Therapy

Berry, Jessica SLP ...........................239

Brooks, Jennifer SLP .....................239

Cotter, Priscilla SLP ......................239

Ferguson, Kimberly SLP ..............239

Harmon, Tonya SLP .....................239

Ivy, Amy ...........................................240

Lloyd, Quincey SLP ......................240

Oliver, Elizabeth SLP ...................240

Parent, Jennifer SLP .....................240

Pendergrass, Kimberly SLP .......240

Peterson, Barbara SLP ..................241

Rogers, Susan SLP ..........................241

Schank, Stephanie SLP ................241

Soles, Margaret SLP ......................241

Walter, Lauren SLP ........................241

Young-Cline, Nicole SLP ............241

Zito, Caroline SLP ..........................241


37719585


Marion Marlboro Williamsburg

Chiropractic

Falk, Mitchell DC ............................ 129





Hospital

Musc Health Marion Medical Center ................................................. 139




Brown, Anita LPC .......................... 243

Retail

Bridgers Drug Store ..................... 257

CVS Pharmacy ................................ 257

Carolina Pharmacy ....................... 257

Health Care Partners Phcy Marion ................................................................ 257

Mullins Discount Drug ................ 257

Walmart Pharmacy ...................... 257


Musc Health Mullins Nursing Center ................................................. 156


Mason, Rachel SLP ....................... 243

Dialysis

Mccoll Dialysis ................................ 157


Fowler Pharmacy ........................... 157


Smith, Robert CSW .....................244


Beres, Danielle LMFT ...................244


Patterson, Yolanda LPC .............244

Stuckey, Dominica LPC ..............244

Physical Therapy

Smith, Sherry PT ............................245


Johnson, Damien LPC ..................245

Retail

CVS Pharmacy ................................258

Csc Community Pharmacy Mccoll ................................................................258

Csc Community Phcy Bennettsville ...................................258

Fowler Pharmacy ..........................258

Marlboro Drug Company .........258

Medcare Pharmacy ......................258



Dundee Manor ................................ 157


Williamsburg County Department On Alchol ..........................................158


American Homepatient ..............158

Lincare Inc .........................................158

Family Practice

Allen, Raymond MD ...................... 38

Crosby, Thomas MD ..................... 38

Hospital

Williamsburg Regional Hospital .................................................................140

Internal Medicine

Natarajan, Sundar MD ................. 132


Wallace, Donya LPC ....................246

Retail

Black River Pharmacy ..................259

CVS Pharmacy ................................259

Greeleyville Pharmacy ...............259

Stuckey Pharmacy ........................259

Williamsburg Pharmacy .............259

Thoracic Surgery

Smith III, Charlie MD .................... 133


37719585

Provider Index

A

B

A Perfect Fit ..................................... 154

A1 Medical ......................................... 146

Abadie, Sebastian MD ...........97,104

Abalsom, Nicholas MD .......... 49,69

Abdallah, Hatem MD ......................61

Abinsay, Alvin MD ......................... 129

Abushakra, Kimberly SLP ........... 239

Acaylar, Francis MD ........................37

Acaylar, Joseph MD .......................7,11

Adabala, Nivedita MD ..................... 11

Adams, Carol CP ..............................85

Adams, Jessica DO ...........................49

Adams, Leah PSYD ..........................85

Adams, Sara MD .............. 103,104,105

Adamson, James MD ......................26

Adkins, Henry MD ...........................38

Adler, Brian MD ..........................26,27

Aduako, Cecilia MD .................... 4,44

Advantage Pharmacy And Wellness ............................................. 251

Aerocare ..............................................151

Aguilar, Maria MD ..................... 49,69

Aiken, Sheryl APRN ....................... 212

Al Aswad, Marwan MD ............. 21,31

Al Hourany, Ramzy MD ............... 86

Alan, Rodney MD ............................ 80

Albury, Vanessa APRN .......... 212,217

Alexander, Anthony MD ..............83

Alexander, Clarence MD ................ 7

Alexander, Heather APRN ......... 164

Alexander, William OD .................46

Alford, Bryan PA ............................. 183

Ali, Hamed MD ................................ 122

Alkis, Mallory MD .......................67,74

Allen, Dan PHD .................................85

Allen, Raymond MD .......................38

Allen, Sarah MD ................................27

Allen, Scott CRNA .......................... 191

Alley, Ashley APRN ....................... 212

Allouch, Fouad OD .........................115

Almeida, Nathan MD ............. 65,105

Almidani, Mazen MD ........39,49,109

Alo, Olubunmi MD ...........................111

Alsaka, Mhd MD .............................. 68

Alsworth, Roberta PA ..................233

Altena, Kristine PT ........................ 226

Amaradasa, Natali APRN ..... 193,217

Ambrose, Michael MD .................... 2

American Homepatient ........ 151,158

Amir, Murtaza MD .......................... 69

Anderson, Alicia APRN ......... 217,218

Anderson, Alicia NP ........................29

Anderson, Jason PSYD ...................85

Anderson, Jill LPC ................. 205,206

Andrada, Marta CNM ...........192,194

Andrews, David OD ........................78

Andrews, Jeri APRN ....................... 161

Andrews, Jeri CNP ......................... 163

Andrews, Stephen DO ......... 122,123

Anglen, Jeffrey MD ........................ 80

Angus, Joslyn MD ............................... 7

Ansari, Shoukath MD .................... 60

Anyim, Alecia MD .............................. 11

Apple, Claire OT ........................... 224

Apria Healthcare LLC .....................151

Ard, Kimberly SLP ......................... 236

Ardaman, Miles MD ....................... 48

Areephanthu, Abraham MD .......42

Armstrong, Morgan PA ............... 185

Arnette, Caren APRN ................... 167

Arroyo, Julio MD ..............................64

Arthur, Rachel OT ........................ 224

Artis Bacote, Karen NP .................... 7

Asaro, Joseph MD ...........................132

Asher, Karyn ARNP ........................ 212

Atienza, Jonessa Ann MD .............27

Atkins III, John MD .......................... 48

Atkinson, Ernest MD .................. 7,38

Atkinson, Meredith APRN ......... 160

Atlantic Apothecary ....................253

Avila, Amanda MD .................... 49,69

Aynor Family Pharmacy ..............253

Azizzadeh, Naceme DO ................. 7

Babb, Susan CRNA ........................ 169

Babb, Yarrow PA ............................ 189

Bach, Christopher MD ........... 97,105

Badve, Siddharth MD .....................47

Bailey, Byron MD ...................... 110,151

Bailey, Lauren APRN .................... 245

Bajaj, Rajesh MD ........................ 63,68

Bakas, Efstasia LPC .........................173

Baker, Jordanna DPM .....................83

Balachandra, Sivanthan MD ...... 108

Bali, Arvind MD .................................42

Baluja, Vivek MD ....................... 50,69

Banda, Darlinda LPC .............159,244

Bangco, Mario MD ........................ 109

Banks, Jerry MD .................................. 15

Banner, Meredith CNP .................177

Bannister, Carroll MD ....................43

Bardi, Christopher MD ............... 4,12

Barnard, Mark MD .......................... 48

Barnett, Andrietta APRN ..................................................212,218,223

Baroody, Brent MD ...................45,74

Barrett, Alan PA ........................ 171,185

Barrett, Gary MD .............................27

Barrett, Jennifer APRN ................. 218

Barrett, Michael MD ......................2,7

Barrett, Valorie APRN ................... 161

Barton, Garrett MD ........................... 1

Barton, Kinzie MD ............................... 1

Bashall, Anthony MD ................... 105

Bashour, Shadi DO ..........................65

Baslot, Joel PT ................................. 243

Batten, Ashley APRN .................... 212

Bauer, Robert MD ........................... 84

Bec, Aquilla APRN .......................... 165

Beck, Marcia CSW ......................... 192

Bednarski, Hania DO ..................... 99

Beeraka, Prakash MD ........................ 7

Behling, Donald MD .......................... 7

Behling, Edward MD ......................... 7

Behravan, Vahid MD ................ 50,69

Belk, Cindy OT ................................ 183

Bell, Thomas MD ................................ 2

Bell, Virginia APRN ......................... 212

Bellavia, Lisa SLP .............................237

Belschner, Rebecca APRN ......... 218


37719585

Provider Index

B - cont.

C

Belser Jr, Roy PT .............................. 184

Benbow, Pamela AUD ................. 190

Bendle, Lakyn LPC ......................... 187

Bennett, Gregory DO ....................92

Bennett, Meagan APRN .............. 159

Bennett, Meagan ARNP ........ 171,177

Benson, Paul MD ........................27,97

Beres, Danielle LMFT ...........205,244

Bergelt, Solita OD ............................79

Bergeron, Shawn LCSW .............. 201

Berglind, William MD .....................49

Bergrin, Jon DC ..................................57

Berry, Jessica SLP ........................... 239

Best, Darryl MD .............................. 105

Bethea, Lesa MD ............................ 129

Bethea, Orran APRN ..................... 168

Bethle, Joseph PA ..........................233

Bharadwaj, Ramesh MD ................64

Bickerstaff, Charles MD ...............132

Bidell, Jill LPC ...................................206

Biester, Christina MD ..................... 1,2

Billue, David MD ................................111

Bird, Bryan CRNA ........................... 169

Bitar, Anas MD ................................ 120

Bittner, Benjamin OD .....................115

Bixler, Christopher MD .......... 50,69

Bjerken, David MD ......................... 99

Black River Pharmacy .................. 259

Black, Neicole PA ........................... 185

Black, Sharon CSW ........................ 172

Blackmon, Tomekia LCSW ........ 172

Blackwell, Joyce OT ............... 165,183

Blakely Wheeler, Valerie SLP ....237

Blaker, Alan MD ................................56

Blaker, Brian MD .........................65,67

Blanton, Adam PA .........................233

Blasius, Melony MD ...................... 183

Bledsoe, Keri OT ............................ 165

Bleyer, Peter MD ..............................97

Bodofsky, Gary OD ........................115

Boggs, Chris MD ................................ 15

Bogle, Roberta LPC ......................206

Bolton, Paula PT ............................ 226

Bondy, Peter MD .............................95

Booth, John MD ...............................7,8

Borst, Christopher MD ................... 15

Borte, Bernadette MD ............ 50,70

Bossinger, Steven MD .................. 89

Boster, Elizabeth APRN ............... 163

Bouchard, Kristen PT ................... 226

Boudreau, Michelle DO ......... 50,70

Boullion, Christopher DO ........... 118

Bourguillon, Peggy MD .............. 15,21

Bovey, Diantha LSW .................... 202

Bowen, Cary PT ............................. 226

Boyd, Louise MD ..............................74

Boyer, Jocelyn CSW ..................... 162

Brackett, Newton MD .................. 99

Bradley, Nina DO ...................... 50,70

Brady, Melissa CSW ...................... 172

Brady, Stephen MD ...................... 108

Bramblett, Melanie PA ................ 185

Brangers, Jennifer PT ................... 226

Brazee, Jacob DO .............................27

Brazill, Brittany PT .................226,227

Breeden, Melissa PT .................... 227

Brewton, Cary DO ...........................62

Brewton, Mary DO ...................43,59

Bridgers Drug Store ..................... 257

Bridges And Jamesinc Wannamaker Drug ........................ 142

Briggs, Jonathan ARNP ................. 218

Brinegar, Angela APRN ................ 212

Brinton, Evan OD .............................46

Britt, Josie SLP ..................................237

Britt, Loryn APRN .......................... 168

Britt, Mary APRN ............................ 218

Britton, Kallie PA ............................233

Brockman, Robert MD ................. 99

Brooks, Jennifer SLP ..................... 239

Brooks, Melissa MD .......................... 6

Brooks, Michelle OD ......................79

Brown, Alexis MD ............................. 15

Brown, Angel APRN ...................... 180

Brown, Anita LPC .......................... 243

Brown, Archie APRN .................... 168

Brown, Catherine LPC ................206

Brown, Daniel PA ..........................200

Brown, Dejuania DO ..................... 103

Brown, Elizabeth LCSW ............. 244

Brown, Julia APRN ...........................213

Brown, Kaitlyn PA ...........................213

Brown, Katherine OT .................. 224

Brown, Levina APRN ..................... 161

Brown, Morris MD .......................8,38

Brown, Natalie SLP ........................237

Brown, Regina OT ........................ 224

Brown, Rhonda APRN .................. 218

Brown, Rhonda CNP .....................213

Brown, Tisha APRN ....................... 218

Brown, Traesa MD .............................8

Browning, Gregory MD ...................8

Browning, John MD .........................74

Brubeck, Jessica APRN ..........159,160

Bruce, Amanda APRN ..................223

Bruce, Valarian MD .........................59

Bruno, Tara APRN ...........................213

Brunson, Monica OT ................... 224

Brusyanina, Svetlana APRN ........213

Bryan, John DC ..................................42

Bryant, Stacie ARNP ......................177

Budhram, Solomon MD .................. 4

Bullard, Robert MD ....................... 129

Bulsza, Susan LPC ..........................206

Bunten, Kimberly PT ..................... 184

Burgess, Bradley LPC .................... 162

Burgess, Gloria LPC ......................206

Burgess, La'asha PA ....................... 201

Burke, Valerie MD ...................130,156

Burkert, Stephen PT .................... 227

Burrows, Dennis PHD ................... 145

Bush, Crystal CSW .................194,202

Bushman, Michael PT ................... 184

Buster, Linda APRN ................ 194,213

Butbul Benezra, Vered APRN ... 218

Butterworth, Michelle DPM 84,133

Byrd, Mary APRN ........................... 218

CVS Pharmacy ...............248,249,250,251,253,254,257


37719585

Provider Index

C - cont.Caldwell, Alice APRN .................... 161

Caldwell, Alice CNP ...................... 163

Calhoun, Amanda APRN ............. 219

Calhoun, Barbara APRN .............. 164

Calhoun, Howard LPC ................206

Campbell, Thomas LPC ..............206

Campbell, Treadwell MD .............35

Campbell, William MD ..................74

Candela, Zenaida MD ....................37

Canipe, Karen APRN ..................... 159

Cantley, Amy LMHC ...................206

Cape Fear Orthotics & Prosthetics ...................................................................151

Careplusrx Pharmacy ................... 251

Careteam Plus Inc .............................21

Carey, Amanda SLP .......................237

Carmichael, Michael MD ............. 89

Carolina Care Medical Supply LLC ...................................................................151

Carolina Drug Store Inc ............. 249

Carolina Forest Pharmacy ........ 254

Carolina Health Pharmacy ........ 254

Carolina Healthcare Inc DBA Compass Post .................................. 155

Carolina Orthotics And Prosthetic Of Myr ................................................ 155

Carolina Orthotics And Prosthetics LLC ............................... 155

Carolina Pharmacy ....................... 257

Carolina Pines Regional Medical Center ..................................................135

Carolina Sleep Diagnostics Inc ..........................................................144,148

Caron, Philip DO ..............................53

Carpenter, Lindsey APRN .......... 167

Carrera-Alvarez, Amanda MD ....121

Carter, Kaycee CSW .......................171

Carter, Krystal LPC .........................173

Carter, Ralph MD .............................131

Carter, Robert LMFT ................... 205

Carter, Shari CNP ........................... 163

Carter, Xaviera MD ..........................111

Casley, Denise LPC .........................173

Caudle, Tory MD ...............................31

Caugh, Kurtis OD .............................115

Causey, Sherry ARNP ................... 167

Central Pharmacy ......................... 250

Cerasaro, Thomas MD ................. 124

Chadbourne, David MD ............... 89

Chamberlain, Brooke NP ............. 86

Chandler, Thomas MD ................ 122

Chang, Eugene MD .........................67

Chapman, Raymond MD ................ 4

Charbel, Samer MD .........................97

Charles, Gabrielle PT ................... 227

Charyalu, Maddalithirumala MD ...................................................................65

Chaubey, Vinod MD ..................... 108

Chaudhry, Anu MD .........................74

Chavez, Temujin MD ............... 64,65

Cheatle, Joseph MD ....................... 110

Chee, Julie MD ................................... 15

Cheng, Vicki PT .............................. 227

Chernev, Ivan MD ............................83

Cherry Grove Drug ...................... 254

Cheshire, Amanda MD ........... 50,70

Chesterfield County Health Department ...................................... 142

Chesterfield Drug Company ... 248

Chiarmonte, Anthony PT .......... 227

Childrens Care Pharmacy .......... 146

Chinich, Caren CNP .......................177

Chitty, Nina PT ............................... 227

Choi, Gwen MD ............................... 89

Chokshi, Rakesh MD ...................... 80

Chowdhary, Deepak MD ..............61

Christensen, Tom MD .................... 15

Christian, Jeanine CRNA .............. 191

Christiansen, Laura PT ................ 227

Chumble, Shubhangi MD ...... 50,70

Ciancione, Jerome CRNA ............ 191

Ciancione, Peter CRNA ............... 169

Cicio, William MD .......................... 105

Circle Park Behavioral Health Services .............................................. 145

Clark, William MD ............................76

Clarke, Cheryl MD ...........................53

Climer, Clyde MD ............................53

Cline, Matthew DC .................. 49,94

Cluver, Jeffrey MD ..........................121

Clyburn, Karen APRN ................... 159

Clyburn-Ipock, Virginia MD ........87

Coastal Cancer Center Pharmacy ................................................................ 254

Coastal Carolina Otolaryngology ............................................................ 95,96

Coastal Sleep Lab Inc .................. 155

Coastal Vision Center Inc ........... 114

Coates Gal, Chrystal MD .............. 15

Coates-Wynn, Geoffrey MD .....83

Cobos, Rachel MD ......................... 99

Coffin, Dawn APRN ....... 194,195,219

Cogdell-Quick, Edna LPC ........... 187

Cohen, Alexander MD .....................8

Cohen, Paul MD ......................... 22,27

Coker, James OD ..............................115

Cole, James PT ................................ 227

Coleman, Megan APRN ...............177

Collette, David OD .........................115

Collier, Victor MD ...........................27

Collins, Andrew APRN ..................213

Collins, Charles MD ......................... 12

Collins, Diana APRN ........................171

Collins, Nancy MD ..........................30

Colon-Garcia, Patricia MD ...........70

Colongarcia, Patricia MD .....50,109

Combs, Susan SLP .........................237

Comianos, Marc DO ......................27

Congdon, Karyn PT ...................... 227

Coni, Robert DO ............................ 109

Conner, Daniel DO ............................ 2

Conner, Gerald MD ........................83

Conner, Shelly APRN ................... 164

Conway Dialysis Ctr .......................151

Conway Manor ............................... 155

Conway Medical Center ............ 138

Conway Pharmacy ....................... 254

Cook, Helen APRN ........................ 219

Cook, Todd MD .............................. 118

Cooler, Arthur MD ....................43,44

Cooper, Janet APRN ..............159,160


37719585

Provider Index

C - cont.

D

E

Cooper, Pansy APRN ................... 219

Cora South Carolina ..................... 155

Corey, Stephen DPM ....................133

Cornnell, Timothy MD ..................97

Corontzes, Stephen MD ...............31

Corti, Sandro MD ............... 39,50,70

Costco Pharmacies ...................... 254

Cote, Lydia PA ................................ 201

Cotter, Priscilla SLP ...................... 239

Coughlin, Eric MD ............................74

Council, Angela APRN .................. 161

Courtney, Donald MD ...................27

Covington, Al OD ........................... 40

Coward, Jacob APRN ................... 165

Cowsar, Paul APRN ....................... 219

Cox, Demeatra LPC ..................... 207

Cox, Jesse MD .................................. 68

Crago, Ashley APRN ..................... 214

Cranny, Jennifer MD ................87,133

Crawford, Anita APRN ................. 161

Crawford, Rebecca APRN ......... 241

Crawford, Stephanie APRN ...... 219

Creson, Stuart OD ......................... 116

Cress, Lyndsi DO ............................... 15

Cribb, Shannon APRN .................. 214

Crickman, Bonnie MD ..............43,59

Crisp, Brian PA ................................. 184

Crosby, Thomas MD ......................38

Crossway Medical ......................... 146

Crouch, Timothy MD .....................56

Crowell, Jacqueline APRN .......... 214

Crowninshield, Jessica SLP ........237

Crum, Christopher APRN ....214,219

Csc Community Pharmacy Mccoll ................................................................ 258

Csc Community Pharmacy ....................................................... 248,249

Csc Community Pharmacy-Latta ................................................................ 250

Csc Community Pharmacy-Society Hill ................ 249

Csc Community Phcy Bennettsville ................................... 258

Cuddy, Brian MD ................. 110,111,152

Cuff, Ryan MD .............................67,74

Culleton, John MD ...........................59

Cumbie, Heather PT .................... 228

Cunningham, Christopher MD ........................................................... 88,123

Curl, Anita APRN ............................ 180

Cusack, Shemeka SLP ..................237

Czepowicz, Violetta MD ....... 92,121

Dameron, Jason MD .................39,44

Daniel, Scott MD .............................45

Daniels, Frederick MD .....................31

Daniels, Prezillic LPC .............. 173,187

Danzey, Toya MD ............................45

Darlington County Health Department ...................................... 143

Darlington Dialysis Ctr ................ 143

Darlington Family Pharmacy .... 249

Davidson, James MD ................74,75

Davis Boyd, Tara APRN ............... 214

Davis, Nancy LPC .......................... 207

Davis, Richard MD ....................5,12,13

Davis, Rochelle LCSW ..........192,195

Davis, William MD ............................. 2

Dawson, Michelle SLP ................ 239

Dean, Mark OD ................................ 116

Deblasi, Lori DPM ........................... 84

Debsikdar, Jaideep MD ..................56

Degrood, Robert MD ................... 129

Demarco, Donna PT .................... 228

Demarco, Paul MD .............. 11,65,129

Denittis, Felicia PA ......................... 212

Denlinger, Chadrick MD ..............123

Dennis, Brandi LPC ................ 173,207

Denton, Patrick MD .....47,48,80,88

Deshmukh, Ashwin MD .................81

Deshon, Laurie PA ........................ 234

Destefano, Ellen PT ...................... 228

Dewitt, Melissa LPC ...................... 162

Dhadwal, Neetu MD ............... 50,70

Diamond, Jason OD ....................... 116

Dickinson, Elizabeth MD ........43,59

Dickinson, Thomas MD ................2,8

Didelot, William MD ...................... 118

Dieter, Sara PT ................................ 224

Dietz, Teresa APRN ....................... 168

Dillon Community Pharmacy .. 250

Dillon County Health Department ................................................................. 144

Dillon Family Pharmacy .............. 250

Dimkpa, Rajeshree MD ..................39

Dineen, Kevin MD .......................... 122

Dinello, Kaylee SLP ........................237

Dipaolo, Zachary MD ......................81

Ditsious, Jaenell APRN .........219,220

Dixon, Heather OT ...................... 224

Docherty Jr, Jon MD .......................87

Doctors Care ................................... 148

Doherty, Meghan OT ................. 224

Dominici Jr, Raymond MD ...........38

Dominique, Devanand MD ..........74

Donato, Eduardo MD ...................... 11

Dorr, Rachel APRN ........................ 214

Dorr, Rachel NP ................................29

Dorton, Kathy PT .......................... 228

Doud-Kearns, Tina APRN ....192,195

Doud-Kearns, Tina ARNP .... 195,214

Dougherty, Joseph MD .................49

Douglas, Danny MD ..................56,92

Dozier, Samuel MD .........................65

Drucker Drugs And Medical Equipment ......................................... 158

Dukes, Laura PT ............................. 228

Duncan V, Scott MD ...... 102,103,118

Duncan, Anna DO ............................37

Duncan, Jeniqua DO ......................... 2

Dundee Manor ................................ 157

Dunn, Kathleen MD .........................111

Durant, Kelvin LPC ................. 173,187

Durst, John MD .................................54

Durst, Kimberly PT ....................... 228

Dyce, Orville MD .............................42

Eames, Lacey DO .............................112

Eastep, Alyson CRNA ................... 169

Eaton, Carol PA ............................... 193

Eaton, Richard MD ........................... 15


37719585

Provider Index

E - cont.

F

Ebama, Nyabilondi MD ........104,105

Ebbert, Jana DO ................................37

Eck, Dustin MD ............................62,83

Eddins, Stefani LCSW .................. 167

Edgar, Kenneth MD ...................44,73

Edmison, John MD .......................... 98

Edmison, Lacie MD ....................... 105

Edosomwan, Emmanuel MD ......... 1

Edwards II, Ira DC .......................57,94

Edwards III, George PA .........185,186

Edwards, Erin ARNP ...................... 214

Edwards, Willie MD .........................81

Egan, Brad OT ................................. 224

Eggart, Malcolm MD ........................111

Eglen, Rebecca MD ..........................31

Einziger, Samantha OT ................ 183

Eisenman, Richard MD .................. 98

Elder, Benjamin MD ......................... 13

Elder, Robert MD ............................... 2

Elder, Sherry APRN ........................177

Elkins, Jennifer LPC .........................173

Elliott, Alexis LSW .................195,205

Elliott, Rebecca SLP ..................... 243

Ellis, Richard MD ...............................38

Ellison, Beatrice LPC ..................... 160

Ellison, Thomas MD ................. 118,119

Elms, John MD ................................. 108

Elraie, Khaled MD ............................ 98

Elvis III, James APRN ..................... 246

Elya, Marwan MD ............................ 86

Emerson, Gary MD ..........................75

Emerson, Jammie APRN ............. 220

English, Wynne MD ...................... 188

Epperson, William MD ............... 15,16

Epstein, Aaron MD ......................... 99

Etheridge, Martin LPC .................. 159

Evans, Brian MD ............................... 89

Evans, Jeffrey DC .............................94

Evans, John DC ..................................94

Evans, Kerri APRN ......................... 220

Evans, Lauren APRN ..................... 220

Evans, Patricia LPC ......................... 159

Evans, Regina MD .......................22,30

Evans, Tonya SLP .......................... 239

Evans, Walter MD ............................70

Everhart Lachnicht, Ashley LPC ................................................................ 207

Everman, Anne MD .........................92

Executor Diagnostics LLC .......... 148

Express Medical Equipment Inc ................................................................. 152

Eyemart Express LLC ............... 78,114

Eyes Over Carolina PC ..................45

F & L Drug Store ............................. 251

Faile, Kenneth MD .............................8

Faiyaz, Seema MD ...........................54

Falk, Mitchell DC ............................ 129

Fam, Nabil MD ...................................62

Family Care Medical Supply ..... 152

Family First Support Center ..... 144

Farley, Colleen APRN .................. 220

Farnill, Leslie OT ............................ 225

Farrah, Jason MD ............................. 99

Farrell, Howard MD ........................58

Feagin, Brian OT ............................. 183

Feaker Jr, David DO .........................81

Felder, Melissa APRN ....................177

Feliciano, Carlos MD ............... 50,70

Fenner, Lynda LCSW ................... 202

Ferguson, Kimberly SLP .............. 239

Ferguson, Naomi ARNP ............. 220

Ferguson, Stephanie APRN ........177

Ferranti, Vincenzo PT .................. 228

Ferrigno, Michael DC .....................57

Ferrigno, Michelle APRN ..............171

Figueroa Garcia, Alberto MD .....................................................50,70,109

Finch, Carole PA ............................. 186

Fink, Jessica DPM ............................. 84

Finklea, Kitty RD ............................. 183

Finley, Erin PA ................................. 234

Finneran, Matthew MD ...........67,75

Firilas, Anthony MD ................ 95,152

First Choice Medical Respiratory Servic ................................................... 152

Fishburne, Barron MD ....................45

Fisher, Sierra APRN .........................177

Fitzgerald, John PT ........................ 228

Fitzgibbon, Timothy MD ................ 6

Fitzpatrick, Christine SLP ............237

Flanegan, Renee APRN ............... 220

Fleming, James MD ............................ 6

Fleming, Stephanie LPC ............. 207

Florence Brace And Limb Inc ... 148

Florence County Health Department ...................................... 145

Florence Home Care Services LLC ................................................................. 147

Florence Primary Eyecare PC .....78

Florence Surgery And Laser Center LLC ........................................ 145

Florence Visiting Nurses Service Inc ......................................................... 147

Flowers, Stephen OD ....................46

Floyd Brace Company Inc ......... 155

Floyd Norris, Iris MD .................... 129

Floyd, Cassie APRN ...................... 220

Floyd, Cecil MD ................................62

Floyd, Erin PA .................................. 234

Floyd, James MD ...............................16

Floyd, Jessica MD ........................51,70

Floyd, Whitney PT ......................... 184

Fmc Dialysis Pee Dee Dialysis Ctr ................................................................. 146

Fmc Dialysis Svcs Hartsville ...... 143

Fmc Dialysis Svcs Murrells Inlet 151

Fmc Dialysis Svcs N Myrtle Beach ...................................................................151

Fmc Freedom Dialysis .................. 146

Fogarty, James DO ................. 124,125

Fontanares, Roland PT ................ 228

Foreman, Thomas MD ................. 100

Forrest, James CRNA ..................... 191

Fortune, Jane LPC ......................... 207

Foster, Karen PT ............................ 228

Fowler Pharmacy ................... 157,258

Fowler, Tiffany APRN ................... 191

Foxworth II, Michael MD .............. 12

Francke, Patrick MD .......................123


37719585

Provider Index

F - cont.

G

Frank, Walter MD .......................... 125

Frasier, Colisha LPC ...................... 207

Freel, Paul MD ..................................... 6

Freeman, Deana APRN ................ 180

Freeman, Gil MD ..............................47

Freeman, Katherine APRN .195,220

French, John MD ............................. 40

Fresenius Kidney Care Black Creek Dialys ................................................... 143

Fresenius Kidney Care Florence Home ................................................... 146

Fresenius Kidney Care Florence Medical M ......................................... 146

Fresenius Med Care Bennettsville ................................................................. 157

Fresenius Med Care Church St 146

Fresenius Med Care Dillon ........ 144

Fresenius Med Care Florence Dialysis ................................................ 146

Fresenius Med Care Johnsonville ................................................................. 146

Fresenius Med Care Kingstree . 158

Fresenius Med Care Marion ..... 156

Fresenius Med Care Myrtle Beach ...................................................................151

Fresenius Med Care West Conway ................................................151

Friedman, Mark DO .................... 51,71

Frye, Amanda SLP ..........................237

Frye, Fritz PA ................................... 234

Fukuda, Christopher MD ........55,89

Fulcher, Rosanne LPC ...................173

Fuller, Clara LPC ....................... 173,187

Fulmore, Carolyn LPC .................. 167

Fulton, Melissa LPC ...................... 246

Fulwood, Karen APRN ......... 164,180

Gaddy, Mckethan OD ...................54

Gage, Julie CNP ................................177

Gainey, Cynthia APRN ................ 180

Gainey, Shannon APRN ............... 161

Gajewski, Timothy MD ............... 125

Gal, Almog MD .................................27

Gallier, Catherine APRN ............. 221

Gamble, Natalie LPC ............ 173,246

Gammon, William MD ....................16

Gangi, Glenn MD ........................... 125

Ganley, Tracey APRN ................... 217

Gardache, Marissa PA ................. 234

Gardner, Carol APRN ................... 221

Garland, Frederick DPM ................121

Garner, James MD ...........................35

Garrett, Nicole PA ......................... 201

Garris, Theressa ARNP ................. 178

Gause, John MD ................................62

Gelb, Ernest DO ................................16

George, Linda APRN ..................... 165

Gerrald, Amanda APRN ...... 195,223

Gersch, Karen MD ......................... 124

Ghorra, Salim MD ............................39

Gibbons, Laura SLP .......................237

Gibbs, Ashley APRN ..................... 221

Gibbs, Sean MD .................................16

Gibson, Elizabeth PT ................... 229

Gibson, Robin LPC ........................ 162

Giddens, Eugene MD ......................111

Gilmore, Pamela APRN ............... 214

Gilpin, Albert MD .............................81

Gittens, David DC ............................58

Glaser, Jacob MD ........................... 100

Glinski, Ronald MD ......................... 89

Glover, Farrah SLP .........................237

Glover, Mary MD .............................95

Gluzberg, Tatyana MD ........... 16,152

Gobin, Mark DO ...............................27

Godwin, Ashton APRN ............... 180

Goebel, Jason MD ...........................92

Goldberg, Renwick MD ............... 103

Golden Town Pharmacy ........... 254

Goldstein, Lewis MD ......................75

Gonzales Acevado, Camille LPC ................................................................. 174

Good, Edward MD ...........................71

Goodall, Kristina LPC .................. 207

Goodier, Christopher MD ...........67

Goodroe, Randall MD ... 92,105,106

Goodson, James MD ......................76

Goodwin, Misty LPC .................... 174

Gopalakrishnan, Parakkat MD .. 129

Gore, Rezell LCSW ....................... 244

Govindappa, Venugopal MD ................................................ 44,48,65,68

Goyeneche, Paola LPC ............... 207

Grady, Cynthia MD ................. 112,153

Graham, Almeda APRN ............... 180

Graham, Carrie LPC ...................... 174

Graham, Lauri OD ........................... 116

Graham, Martha LPC .................... 162

Graham, Megan PT ...................... 229

Graham, Meridith CSW ............. 246

Graham, Rochelle LPC ................. 162

Graham, Toney MD ......................... 13

Grainger, Terry MD .........................42

Grand Strand Regional Medical Center ................................................. 138

Grande Dunes Surgery Center 149

Grant, Lisa PT .................................. 229

Grasshoff, Victoria SLP ............... 188

Graves, Antonia LSW ................... 172

Gray Stanley, Tommi AUD ........ 190

Greeleyville Pharmacy ............... 259

Greenan, Candice MD ...................75

Greene, Howard MD ...............54,76

Greer, William MD ......................... 119

Griesmer, Brendan MD .................28

Griffith, Mary APRN ..................... 214

Grimsley, Jessica APRN .............. 247

Grinman, Mark MD ....................... 109

Gross, Jeffrey MD ............................45

Growing Home Southeast ........ 145

Grubb, Larry MD ..............................87

Grubb, Stephen MD ........................16

Gude, Adam CNP .......................... 178

Guha, Prabal MD ........................42,56

Guidry, Christopher MD ..............62

Guilkey, Hayley MD ................... 22,31

Gulledge, Paul APRN ........... 243,247

Gulledge, Paul ARNP ................... 246

Gupta, Raina MD .......................... 51,71

Gurbuz, Ahmet MD ...................... 124


37719585

Provider Index

G - cont.

H

Gusic, Brittany MD ...........................16

Guzman, Eunice MD ...........22,23,28

Gwyer, Carrie APRN ............ 200,201

Hadstate, James MD ..................... 108

Haenel, Louis DO ............................ 96

Hafenbreidel, Jill OT .................... 225

Hagan, Timothy MD .......................73

Hahn, Kelly APRN .................... 214,215

Haire, Aaron DPM ........................... 84

Hajar, Lina MD ............................. 23,32

Hall, Megan DO .............................. 120

Hallock, Irene CNP ........................ 221

Halyard, Jeanne MD ................... 16,23

Hamer, Melissa APRN .................. 178

Hamilton, Cynthia APRN ............ 221

Hamilton, Frederick DO ............. 130

Hancock, Amy PA ......................... 234

Hanger Clinic ............................146,148

Hanger Prosthetics & Orthotics ................................................................. 146

Hanna, Brian MD ................................8

Hanna, Rebekah APRN ............... 247

Hardee, Chelsea APRN ................. 181

Hardee, Joseph PA ..................169,191

Hardee, Katherine OT ................ 225

Harden, Sonya CNM ................... 224

Harding, Mary APRN .................... 221

Harford, Janelle MD ........................112

Harlan, Joseph MD ......................... 68

Harless, Michael MD ......................... 2

Harley, Jessica PA .......................... 234

Harling, Michael MD .......................39

Harmon, Gerald MD ........................16

Harmon, Tonya SLP ..................... 239

Harper, Phillip LPC ........................208

Harrah, Jason MD .............................. 17

Harrell, Ashley APRN .................... 178

Harrington, Teressa LPC ............208

Harris, James MD ..............................62

Harris, Larry PA ....................... 192,234

Harris, Lu Etta AUD ....................... 169

Harris, Sarah APRN ... 171,178,195,215

Harrold, Bernadette CRNA ........ 191

Harseys Pharmacy ........................ 248

Harts Dialysis .................................... 143

Hartsville Drug Company Inc .. 249

Hartzog, Timothy MD ...................83

Harvey, Andre LCSW ................... 167

Harvey, Shannon OD .....................79

Haseltine, David MD .................... 106

Haskill Strowd, Rebecca MD ........8

Hassan, Alkhatib MD .................... 106

Hassler, Terence MD ......................47

Hauberg, Julie PT ........................... 229

Haughton, Michael MD ........103,108

Hayek, Hafez MD ........................... 122

Haynes, Jennifer APRN ..193,195,215

Hayward, Meshellia APRN ........ 246

Hayward, Meshellia ARNP 246,247

Hazelwood, William MD ......86,130

Head, Barbara MD ...........................75

Health Care Partners Phcy Marion ................................................................ 257

Healthcare Partners Of Sc ....... 254

Healthsouth Rehabilitation Hospital Of F ................................... 148

Healy Jr, Robert MD ........................71

Heaster, Brian MD ......................... 4,11

Heer, Kathleen DO ..........................37

Heilman, D'andra. PT ................... 229

Heimberger, Eric MD ..................... 119

Heineck, Robert MD ......................112

Heller, Adam MD ......................... 51,71

Hemingway, Jenica DC ..................94

Hemingway, Shauna MD ..............75

Hempton, Brittany NP ................. 68

Henderson, Jordan DO ............... 103

Heniford, Mary PT ........................ 229

Hernandez, Jose MD ... 17,23,98,106

Herrington, Susan PA .................. 234

Hershberger, Corey PT .............. 229

Hess, Lori MD ..................................... 17

Hewitt, Brenda APRN .................. 221

Hewitt, Carolina APRN ................. 181

Heyward, James PT ....................... 184

Hicks, Ashley MD ...............................8

Hicks, John MD ..................................93

Hightower, Stephanie APRN .... 221

Hill, James APRN ...............................171

Hill, Karen MD .................................... 13

Hinman, Candace PA ..................200

Hite, Stephanie PT ....................... 229

Hobbs, Steven OD ..........................79

Hodge, Michael MD ........................71

Hoffman, Michael MD ...... 40,54,131

Hoffmeyer, Margaret MD .............8

Holland, Evans MD ..........................57

Holley Jr, Charles MD .................... 89

Holmes, Essie SLP ......................... 247

Holmes, Regina APRN .................. 221

Holt, Monica APRN .........................171

Holt, Raymond MD .......................... 17

Hood, Teresia LSW ....................... 162

Hopla, Dan MD .................................58

Hopla, Deborah CNP ................... 178

Horchak, Alex MD .......................... 90

Horger, David MD .......................... 48

Horry County Commission On Alcohol Drug .................................... 149

Horry County Health Department ................................................................. 149

Hotaling, Ashleigh APRN ............ 221

Howard, Thomas MD ....................97

Howell, Richard MD .........................8

Howington, Bryan MD ............43,59

Hoyle, Joseph MD ............................. 9

Hsia, Michael MD ............................ 90

Huber, Stephen MD ...................... 89

Hucks, Julia APRN .................... 178,215

Hucks, Mark MD ...............................75

Hudley, Jamila SLP ......................... 188

Hudson, Linda APRN ............ 190,196

Huggins, Lauren PT ........................ 184

Hughes, Farrah PHD ........................85

Huiet, Christopher PA ................. 184

Hunter, Lauren SLP ...................... 239

Hunter, William PSYD ...................85

Hutcheson, Brian DC ......................58

Huynh, Donny MD .... 64,65,103,106


37719585

Provider Index

H - cont.

I

J

K

Hyer, Eric PT .................................... 230

Hyler, Daniel MD ................................ 9

Hypes, Stephen DO .......................77

Ignacio, Iris MD ................................... 9

Imbeau, Nancy PT .................185,245

Imbeau, Stephen MD .....................56

Incare Home Health ..................... 154

Incare Medical Equipment Myrtle Beach ................................................... 152

Ingram, Irene OT ............................ 165

Inmed Diagnostic Services Of Sc LLC ......................................... 145,146,150

Insignares, Luis MD ..................... 17,23

Itani, Najla MD ................................ 106

Ittenbach, Dennis PT ................... 230

Ivy, Amy ........................................... 240

Jackel, Lisa PHD .................................85

Jackson, Debbie CSW ................. 202

Jackson, Haley APRN .................... 165

Jackson, Kimberly APRN ............. 217

Jackson, Kimberly MD ...................... 9

Jackson, Tamiko APRN ................. 191

Jackson, William MD .......................93

Jackson-Dozier, Focell MD ............ 9

Jaggers, Terri MD ...............................61

Jain, Vasudha MD .............................. 17

James, Kiasha MD .............................59

James, Paul APRN ........................... 221

Jansen, Robert MD ................. 125,126

Japitana, Marian MD ......................... 5

Jasper, Kendell PHD ........................55

Jebaily, Deann DO ...........................59

Jebaily, Gerard MD ............................ 9

Jebaily, Nicholas MD ......................93

Jebaily, Patrick MD ............................ 9

Jefferson Drug ................................ 248

Jefferson, Samantha LPC ............ 174

Jenkins, Cynthia LPC .................... 243

Jennings, Jennifer PT .................... 230

Jimenez-Sanders, Rebecca MD ............................................................... 51,71

John Deloaceh ................................208

Johnson, Alan MD ...................100,124

Johnson, Bonita APRN ......... 178,247

Johnson, Bruce MD .........................82

Johnson, Damien LPC .................. 245

Johnson, David MD ...................28,77

Johnson, David OD .........................131

Johnson, Denise APRN ................. 181

Johnson, Donna MD .......................67

Johnson, Edward OD .....................132

Johnson, Katy PA ......................191,201

Johnson, Nancy APRN ................. 221

Johnson, Nia SLP ............................237

Johnson, Sharon APRN ................ 163

Johnston, Virginia APRN ............. 190

Jona, Vinod MD ........................ 86,122

Jones Brown, Jacqueline SLP ... 238

Jones Family Eyecare PC ...............45

Jones, Dana APRN .......................... 164

Jones, Gregory MD ........................ 88

Jones, Jordi OD .................................46

Jones, Karen CRNA ..................169,191

Jones, Keith OD ................................46

Jones, Michelle SLP ...................... 238

Jones, Nathan MD ...........................95

Jones, Stephen MD .........................54

Jones, Trisha CRNA ....................... 169

Jordan, Chucky DC ..........................58

Jordan, Ginger APRN .................... 215

Jordan, Henry MD ............................131

Jordan, Meghan MD ........................ 13

Jordan, Robert MD ......................... 96

Joslin, Richard MD ............................ 17

Joyner-Powell, Nicole DO ....... 17,18

Joynerpowell, Nicole DO .............35

K J Pharmacy 129 ............................. 146

Kahn, David LCSW ........................ 174

Kahn, David LPC ............................. 162

Kaminski, Daniel PT ...................... 230

Kamouh, Abdallah MD ..................65

Karanam, Karthik MD .....................65

Karavan, Mark MD ...................93,106

Karl, John MD ......................................18

Karrowni, Wassef MD ....................57

Karth, Peter MD ................................45

Kasitz, Jesse APRN ......................... 182

Kass, Danny MD ..........................23,28

Kass, Robin MD ..................................71

Kayan, Sabih MD ............................. 48

Keefer, Adam MD .......................... 128

Keenan, Robert MD ........................87

Keisler, Lydia MD .............................112

Keith, John MD ................................5,13

Kellahan, Meredith SLP .............. 238

Kelley Corners Dialysis ................ 146

Kelley, Jill LPC ................................... 162

Kelly, James MD .................................. 6

Kelly, Kathleen CSW ................... 202

Kelly, Nanette APRN ................... 222

Kemp, Faron MD ............................ 106

Kershaw County Commission On Alcohol And ..................................... 142

Kershner, Elizabeth LCSW ......... 162

Khan, Sanaulla MD .......................... 48

Khishchenko, Natan MD . 39,51,109

Khoury, George MD ................ 111,152

Kight, Paige APRN ...................182,183

King, Ellen LPC ................................208

King, Gregory MD ............................77

King, Merritt MD ..............................112

Kirby, Deborah MD ..........................71

Kirby, Lesley AUD ....................161,169

Kirkland, Marion LPC .................... 189

Kirven, Lauren APRN ..................... 181

Kjs Pharmacy 129 ............................ 251

Kleess, Lauren MD .......................... 96

Kline, Daniel PT .............................. 230

Knight, Aimee LPC ......................... 174

Knight, Sarah APRN ....................... 159

Knippen, Elizabeth PA ................. 186

Kocherla, Cyrus MD ................. 56,66

Koike, Jun MD ............................ 112,153

Kolb, Cynthia MD ... 40,54,75,112,131

Kontos, Jimmy MD ..........................93

Kozel-Diamond, Sandra OD ...... 116


37719585

Provider Index

K - cont.

L

M

Krauss, Kari OT ............................... 225

Kroger Drugstore .......................... 254

Kroger Pharmacy .......................... 254

Kroger Sav-On ............................... 254

Krozer, Steven APRN ................... 165

Krutke, Amanda CNP ................... 201

Kuball, Lyn-Marie APRN ......196,215

Kunz, Rachel PT ............................. 230

Labcorp .................................141,148,154

Laboratory Corp Of America ..........................................................148,158

Lagares-Garcia, Jorge MD ............95

Lake City Community Hospital 137

Lamar Family Pharmacy ............. 249

Lamar, Cory MD ........................... 51,71

Lamb, Benjamin MD ......................... 9

Lambertus, Viki APRN ..........196,222

Landers, Summer PA ............ 192,234

Lane, Kristopher APRN ................ 168

Lang, Yolanda APRN .................... 215

Langley, Laura LPC ........................ 174

Lanning Lowther, Lisa DO . 9,43,59

Lary, Andrea SLP ........................... 240

Laspada, Raymond PT ..................231

Lasry, Valerie MD .............................112

Latta Drug Co Inc ......................... 250

Lawrence, Melanie APRN .......... 242

Lawrimore, Cynthia APRN .......... 181

Leask, Gavin MD ...............................93

Lee, Alexandria AUD .................... 190

Lee, Amanda OD ............................ 116

Lee, Frank MD ....................................62

Lee, Hope PA ................................... 186

Lee, James MD ...................................57

Lee, Jason OD ....................................79

Lee, Jennifer APRN ....................... 222

Lee, Jessica MD ................................ 96

Lee, Matthew PT .............................231

Lee, Misty DPM ............................... 84

Lee, Wendy MD ..............................123

Lehman, Annie SLP ....................... 238

Leisy, Heather MD .......................... 84

Leith-Fischer, Madeleine SS .......133

Lemon, Edward OD ................. 46,79

Leninger, Katherine SLP ............. 240

Levenson, Terry MD .......................30

Levy, Marissa AUD ........................ 190

Lew, Michael MD ........................... 100

Lewis, Jesse MD ............................... 119

Lewis, John PA ................................ 234

Lewis, Katie OT .............................. 225

Lewis, Kellie CSW ......................... 202

Li, Mian MD .........................................71

Li, Sui MD ................................... 39,51,71

Licari, Nicholas APRN ....................171

Lieberman, Ariane MD .................132

Life Altering Behavioral Health Services .............................................. 145

Lilly, Brandon MD ............................121

Lilly, Douglass MD ............................. 2

Lim, Bernice MD .................... 18,23,24

Lincare Inc ............144,147,152,156,158

Lincare ......................................... 146,152

Lindaberry, Jeffrey DO ...................18

Lineback, Bradley MD .....................31

Linkia .................................................... 147

Little River Medical Center ..24,153

Little River Medical Ctr Phcy .. 254

Little, Earline APRN ...................... 245

Little, Elizabeth SLP ...................... 188

Litts, Christopher MD ...44,47,63,81

Litts, Patricia MD ..............................75

Lloyd, Quincey SLP ...................... 240

Lobo, Vanessa LPC ........................ 174

Locklear-Batton, Ashley DO .......18

Long, Kristina PA ............................235

Long, Shannon LPC ......................208

Long, William MD .............................. 2

Longan, Anita RD ........................... 183

Longs Dialysis ....................................151

Longs Drug ........................................ 251

Lookadoo, Brian LPC ...................208

Loomis, Alexandra PA ..................235

Lorenz, William MD ........................83

Loris Dialysis Ctr ...............................151

Loris Drug Store ............................ 254

Loving Arms Home Care LLC .. 147

Low Country Home Medical Equipment Co In ............................ 147

Lowcountry Pharmacy LLC ...... 251

Lowcountry Pharmacy ................ 147

Lowe, Ashley ARNP ...................... 163

Lowe, Lisa SLP ................................ 240

Lownsberry, Erick LPC ................. 174

Lu, Rommel MD ................................64

Ludlow, Donald MD .......................32

Lue, Stanley MD ........................... 51,71

Lukowski, David MD ............... 103,119

Lukowski, Jessica MD ......................31

Lukowski, Meredith ARNP ..196,215

Lukowski, Peter MD ....................... 119

Lusk, Clifford MD ......................54,76

Lyles, Kelly MD ................................... 12

Lynam, Brett APRN ....................... 178

Lynch, Bruce LPC ..........................208

Lynn, Christina MD .........................121

Lynn, Deborah LPC ....................... 163

Lyons Prosthetics And Orthotics ................................................................. 155

Lyons, Ruth LCSW ........................ 202

Lyttle, Deanna MD ..........................77

M & D Drug Company ................. 251

Macaluso, Sherry LPC .................. 174

Macdonald, Allan MD ...................... 9

Mace, Alexandra PT .......................231

Mack, Aimar MD ..............................49

Magera, Barbara MD ......................132

Mahaffey, Kathryn SLP ............... 240

Maksin, Michael PA ....................... 186

Malkasian, Loren LPC ..................209

Malkasian, Paul LPC ......................209

Malone, Meghan MD .................... 98

Malone, Michael MD .......................18

Maloney, Kelly MD ......................... 90

Malvarosa, Paul LPC ............... 173,187

Mangano, Andrew DO ..................28

Mannain, Taanya LSW ........... 196,211

Maqsood, Farhan MD ................4,66


37719585

Provider Index

M - cont.Marchase, Nicholas MD ................113

Marion County Health Department ...................................... 156

Marion County Medical Center ................................................................. 156

Market Commons Dialysis Center ...................................................................151

Marlboro County Health Department ...................................... 157

Marlboro Drug Company ......... 258

Maroney, Constance MD ............. 12

Martin, John LPC ............................ 174

Martin, Laura LPC .........................209

Martin, Patrick DC ...........................94

Martin, William MD .......................... 3

Martinez, Eduardo MD ..................112

Maselli, Lisa MD ................................113

Mason, Rachel SLP ....................... 243

Masud, Muhammad MD ........... 51,71

Mathisuthan, Gangatharan MD 130

Mattheis, John MD ............................ 9

Matthews, Debbie ARNP ........... 172

Matthews, Kara APRN ................ 222

Matthews, Kimberly CRNA ....... 170

Matzinger, Steven MD ................ 100

Mauldin, Kristen PA ...................... 192

Maxwell, Crystal MD ......................... 1

Mayeaux II, Eugene MD ................26

Mazgaj, Jamie LPC .......................... 174

Mcabee, Andrew PT ..................... 185

Mcafee, Leticia SLP ...................... 240

Mcbride, Karen SLP ....................... 188

Mccaffrey, Michael MD .............. 109

Mccann, Michael DPM ................. 84

Mccarthy, Robert LPC ................209

Mccauley, Chris MD .......................113

Mcclain, Nicole PT ........................ 185

Mcclam, Andrea LPC .................... 175

Mcclary, Guy MD ............................... 9

Mccoll Dialysis ................................ 157

Mccrae, Allison MD ...................... 100

Mcdaniel, Anita LPC ..................... 175

Mcdonald, Mark MD ......... 51,72,109

Mcdougal, Patrick ARNP ............. 181

Mcdowell, James OD ......................41

Mcfadden, Sherrlyn APRN ........ 178

Mcfarland, Lindsey CSW ........... 203

Mcginley, Christine DO ...........18,24

Mcgonigal, Jennifer LPC .............209

Mcinnis, James MD ........................ 4,11

Mcintyre, Alex MD .................100,124

Mckay, Shawn MD ..........................58

Mcknight, Deloris LPC ................. 175

Mckoy, Alexia ARNP .................... 245

Mclaughlin, Matthew DO .......... 106

Mcleod Cardiothoracic Vascular Surgical ............................................... 145

Mcleod Choice Phcy Seacoast 255

Mcleod Health Cheraw .............. 134

Mcleod Loris Seacoast Ho ........ 138

Mcleod Medica Center Darlington ..................................................................135

Mcleod Medical Center Dillon 136

Mcleod Outpatient Pharmacy 251

Mcleod Regional Medical Center .......................................................... 137,148

Mcleod, Casey APRN ................... 165

Mctavish, Joseph PA ............. 192,236

Mczeke, Kathryn APRN ............... 212

Medcare Pharmacy ...................... 258

Medi Home Care ........................... 147

Medicine Mart ........................ 251,255

Mednick, Adam MD .................. 51,72

Mehari, Tigist MD ......................40,72

Meixel, Steven MD ..........................18

Melgar, Tammy PA ........................235

Mendelson, Joshua MD ....40,51,109

Mendez, Luz MD ................................ 3

Mendoza Olivero, Isabel MD ....... 3

Menser, Cheryl APRN ................. 222

Mercer, Amanda LPC ..................209

Merhi, Eva OD .................................. 116

Merriman, Lisa SLP ....................... 238

Merritt, Rhonda OT ..................... 225

Meseck, Michael PT .......................231

Messier Jr, Robert MD .................. 89

Meyer, Stephen MD ..................... 106

Meyers, Clifford MD ................52,72

Mezzanotte, Thomas MD .............81

Mezzatesta, Patricia SLP ............ 240

Mgb Eyes Inc ..................................... 114

Miara, Melissa DO ..................106,122

Middleton, Jessica PA ..................235

Mijalli, Mamdouh MD .................. 100

Mikol, Edward MD .......................... 119

Militano, Ulises MD ..........................81

Miller, Ashley APRN ..................... 224

Miller, Johnathan PA .................... 236

Miller, Michelle APRN .................. 178

Mills, Michael OD ........................... 116

Mills, Timothy MD ............................18

Mims, Albert MD ........................10,38

Mims, Teresa OT ........................... 225

Mincey, Kenneth MD .............62,100

Mincheff, Thomas MD ..................44

Minter, Andrea SLP ...................... 240

Minter, Ellen Patrice MD ............... 13

Minuteclinic Diagnostic South Carolina .......................................149,150

Minuteclinic LLC ............................ 150

Miranda, Roberto MD .................. 60

Mishra, Ellen APRN ................167,244

Mishra, Ellen ARNP . 161,163,244,245

Mislowsky, Angela MD ................. 101

Mitchell, Benjamin MD ..................49

Mitchell, Benjamin PA .................. 186

Mitchell, Edwin OD .........................46

Mitchell, Mary CNP ...................... 178

Mitchell, Melissa CRNA .............. 170

Mizelle, Donna MD ..........................10

Modi, Nikunjkumar MD ............... 84

Moeckel, Douglas MD .................. 68

Mogy, Catherine CRNA .............. 170

Mohr III, Richard MD .......................10

Mohr, Richard MD .................... 43,60

Mojumder, Deb MD .................52,72

Moleins, Dawn APRN ................... 215

Molter, Darron MD ..........................18

Momentum Medical Brace And Limb ..................................................... 156

Monday, Michelle OT ................. 225


37719585

Provider Index

M - cont.

N

O

P

Montenery, Jason PT .....................231

Montes, Antonio PT ..................... 168

Montes-Ramos, Camille MD ....... 13

Moody, Ashley PA ......................... 189

Moore, Adele CNP ................. 192,215

Moore, Barry MD .............................121

Moore, Casey APRN ..................... 165

Moore, Christopher LPC ............ 187

Moore, Dorwin MD ........................54

Moore, Ellen MD ............................... 12

Moore, George MD ........................37

Moore, Janice APRN ..............197,201

Moore, Robert MD .........................63

Morando, Donald DO ....................19

Morgan, Patrick MD ....................... 60

Morgan, Ross MD .......................... 120

Morjain, Jessica DO .........................28

Morphis, Elizabeth MD ................... 5

Morphis, James MD ........................... 5

Morris, Angela APRN ................... 246

Morris, Judy NP ..................................10

Moscatello, Salvatore DO ............61

Moses, Timothy MD ..................... 90

Moskos, Frank MD .......................... 60

Motiani, Rishika MD ......................... 12

Motilal Nehru, Vijeyaluxmy MD ............................................................ 64,66

Mowzoon, Mina MD ......................52

Mowzoon, Nima MD .....................72

Moyd, Pickens MD .........................3,4

Moyer, Joseph MD ....................56,92

Muldrow, Javonnia LPC ............... 175

Mullaney, Courtney CRNA ........ 191

Mullins Discount Drug ................ 257

Munson Matthew, Megan LPC 175

Murdaugh, Monica SLP .............. 240

Muresan, Horatiu MD .................. 120

Murphy, David MD ..........................19

Murphy, Thomas MD .....................92

Murray, David LPC ....................... 236

Murrell, Amy MD .............................62

Murtaza, Amir MD .....................40,52

Musc Childrens Pediatrics Marion Medical .................................................35

Musc Childrens Pee Dee Pediatrics Marion .............................35

Musc Health Florence Medical Center ..................................................137

Musc Health Lake City Imaging Center ................................................. 145

Musc Health Marion Medical Center ................................................. 139

Musc Health Mullins Nursing Center ................................................. 156

Musc Health Primary Care Marion .............................................................35,36

Musc Health Primary Care Mullins .............................................................35,36

Myers, William MD .........................121

Myrtle Beach Dialysis .....................151

Nabong-Nillas, Maristela MD 24,32

Nagabandi, Shashikanth MD .... 106

Nagaraja, Harsha MD ...............52,72

Nambudiri, Vinod MD ...................28

Nance, Clyde LPC .......................... 175

Naso, Nicolette MD .......................57

Natarajan, Sundar MD ..................132

Naylor, Brian MD .............................. 13

Neal, Cynthia APRN ...................... 216

Nelsen, Cara LCSW ...................... 203

Nelson, Lindsey CSW ..........197,203

Newman, Richard MD ...... 40,52,110

Newman, Ted OD ...........................46

Ng, Daniel MD ................................. 129

Nguyen, Sean MD .............................19

Nichols, William MD ......................32

Nicol, Philip MD ........................96,106

Niederwerfer, Robin APRN ....... 216

Nillas, Romeo MD ....... 24,29,107,153

Nirenstein, Michael MD .................19

Nixon, Bevin CSW ........................ 203

No Bounds Care Inc ..................... 143

Nodrick, Deborah MD ...................49

Norman, Mary CSW .................... 203

Norris, Sarah CNP .......................... 216

Norton, Julien MD .......................... 96

Norton, Laura PHD ................ 122,153

Novinger, Travis MD ......................... 1

Novis, Sarah MD .............................. 96

Null, Elizabeth MD ............. 40,52,110

Nursing Home Dispensary ........ 249

Nuwayhid, Zaher MD ................... 101

Nyes Pharmacy .............................. 255

O'connor, William MD ....... 19,24,25

O'dell, Jason MD ..........................47,81

O'kelly, James MD ....................90,130

Ocean Lakes Pharmacy .............. 255

Odin, Alto DO ..................................... 6

Odom, John MD ...............................35

Oduwole, Adedapo MD ...............121

Oeffinger, Rebecca CSW ........... 172

Offenback, Richard PA ................235

Offiong, Dominic MD .................. 130

Ogunfowora, Ayodele MD ..........41

Okelly, Peter MD ............................ 90

Okenfuss, Tina LPC ...................... 236

Okoh, Samuel MD .............. 44,66,68

Olatosi, Akinwale MD ........... 1,39,65

Oliver, Elizabeth SLP ................... 240

Om, Anil MD ......................................57

Omnicare Of Florence ................ 251

Oneal, Joseph PA ........................... 166

Onley Livingston, Angel LPC ...209

Oquinn, Georgann LPC ............... 175

Orlando, Erik PT ...............................231

Ortiz, Veronica MD ...................... 130

Osaguona, Stephen MD ........ 66,69

Osman, Richard MD ...................... 96

Osmanzai, Yama MD ................... 104

Osorio, Jolene APRN ..................... 181

Ovanna Budhram, Joni MD ........... 5

Owens, Daniel MD ............................ 3

Owens, Elijah MD .............................72

Owens, Kimberly APRN .............. 183

Oza, Veeral MD .................................61

P & H Pharmacy ............................. 248


37719585

Provider Index

P - cont.

Q

R

Pacheco, Stephanie CRNA ........ 192

Pack, Mark MD ......................39,63,131

Pacult, Arthur MD ............................111

Padgett, Edwin MD .................. 43,60

Pageland Dialysis ............................ 142

Pageland Family Pharmacy ....... 248

Painter, Autumn APRN 197,222,243

Palmer, Susan SLP ......................... 238

Palmetto Breathing Solutions ......................................................... 143,249

Palmetto Diabetic Center ......... 147

Palmetto Imaging Inc DBA Florence MRI .................................... 146

Palmetto Infusion Services LLC ................................................................. 147

Palmetto Infusion Services Myrtle Beach ............................................ 152,154

Palmetto Infusion Services ....... 147

Palmetto Medical Equipment Of Florence ............................................. 147

Palmetto Prescription Center . 251

Palmetto Prosthetics And Orthotics Inc ............................ 143,148

Palmetto Sleep Lab LLC ...... 148,155

Palutsis, Gregory MD .....................82

Pamplico Pharmacy ...................... 251

Pande, Amit MD ...............................93

Pande, Meenakshi MD ...................59

Pandoo, Justin MD ..........................29

Panicker, Jaison OD .........................47

Pannu, Davinderbir MD ..................61

Papotto, Joseph DO ........................19

Paragas, Lamberto MD ................ 107

Parent, Jennifer SLP ..................... 240

Parish, Jan SLP .................................. 188

Parker, Melinda APRN .......... 183,224

Parker, Stephen MD ......................231

Parkway Surgery Center LLC ... 149

Parmar, Meenakshi MD .................121

Partridge, Heather LPC ..............209

Paschal, Hudnall MD ........................10

Pashaj, Anteo DO ......................25,29

Patchett, Jennifer MD ....................76

Patel, Kunal DC .................................58

Patel, Neil MD .......................40,52,72

Patel, Nirlep MD ............................. 107

Patel, Supen MD .............................. 66

Patrick, Sean OD ..............................79

Patterson, Melissa APRN ............ 216

Patterson, Yolanda LPC ............. 244

Patton, John MD ........................42,57

Patton, Melissa PT ..........................231

Paudel, Vijay MD ............................ 108

Pavy, Michael MD ............................64

Payne, Tricia CSW 197,198,203,204

Pearson, Andrew MD .................... 98

Pearson, Joseph MD .......................63

Pecylak, Colleen PT .......................231

Pee Dee Eye Associates ...............45

Pee Dee Mental Health Center ...................................................143,145,156

Pelinka, Sarah APRN .................... 226

Pellicani, Ronald DC ........................94

Pelstring, Mark MD ...........................19

Pendergrass, Kimberly SLP ....... 240

Penzo Shumard, Asya LMSW .....44

Perry, John MD .......................... 89,124

Peterkin, Vicky LCSW .................. 172

Peters, Jon APRN ............................. 181

Peterson, Barbara SLP .................. 241

Petkovsek, Alexander APRN ..... 216

Pharmacy Express LLC ................. 147

Phillips, Kristopher PT ...................231

Phillips, Morgan PA .......................235

Phillips, Stephen MD ......................113

Piacentino, Valentino MD .......... 101

Piccolo, Carmen DO ..............90,128

Pickett, Michael LPC .................... 210

Piggly Wiggly Pharmacy ............ 252

Pinnola, Aaron DO ......................... 101

Pitiranggon, Pongstorn MD .. 66,69

Pittard, John MD ............................. 69

Pittard, Michelle PA ...................... 186

Plancher, Joao Mc-Oneil MD 52,72

Player, Keith MD ..............................63

Po, Christopher MD ..................... 109

Poland, Emily DO .....................98,107

Polsky, Roger APRN ...................... 179

Poole, R Gary OD ........................... 116

Poole, Trevor MD ........................... 101

Porada, Theodore PT ....................231

Positive Influences Inc ................ 145

Post, Moira CRNA ......................... 192

Poston, Jerd OD ...............................117

Poston, Laurie PT ........................... 185

Poston, Michelle APRN ............... 172

Potter-Hare, Brandi APRN ......... 179

Poulton, Krista APRN .................... 181

Powell, Joseph MD ............................ 3

Powell, Kimberly APRN ............... 164

Powers, James MD ..................104,107

Prather, Landon PA ...................... 236

Prenatt, William MD ........................19

Pressley, Veronica LPC ................ 163

Price, Stacie SLP ............................ 238

Priganc, Tammy PT ........................232

Prinzi, Sarah MD ................... 25,32,33

Pritchard, Pamela APRN ............. 179

Pritchard-Boone, Andrea PHD ..85

Prock, Kelly OT .............................. 225

Proctor, Charles MD ..................... 114

Professional Pharmacy Of Olanta ................................................................ 252

Professional Pharmacy Services Inc ......................................................... 148

Professional Pharmacy ............... 249

Proffer, Katherine ARNP ............ 172

Publix Super Markets .................. 255

Pugh, Kevin MD ................................82

Purvis, Robert MD ...........................95

Putman, Jesse DO ........................... 119

Putman, Stephen MD ................... 119

Quaye, Emmanuel MD ............. 12,44

Quaye, Michelle MD ......................45

Quest Diagnostics ................... 141,154

Quick, Sandra ARNP .................... 245

Quillen, Timothy MD ................... 126

Rabon, Brian MD .............................. 33


37719585

Provider Index

R - cont.

S

Rabon, Larry MD ............................. 90

Rahman, Ossama MD .....................57

Ralley, Tasha APRN ........................ 181

Ramirez, Yvonne MD ....................... 6

Rao, Sreenivas MD ..........................64

Raynor, Kathleen MD .............98,107

Razick, Manver MD ..........................61

Reames, Danielle SLP ................... 166

Redfearn, Teresa LPC ................... 163

Refvem, William MD ......................82

Regional Health Testing Center LLC ........................................................ 148

Regmi, Subash MD ......................... 69

Reid, Maribeth APRN ........... 190,198

Reiser, Raymond MD ......... 25,26,33

Reliable Medical Of Conway LLC ................................................................. 152

Remines, Michael DO ....................29

Reusche, Christian MD ................. 84

Reynolds, Brandie MD ....................10

Reynolds, Lauren CRNA ............. 190

Reynolds, Mark MD ........................63

Reynolds, Susan MD ......................... 4

Rhyne, Jack LCSW ......................... 159

Rich, David MD ............................... 126

Richey, John MD ...............................63

Richmond, Gayle MD .....................113

Rimkus, Gilbertas MD ........... 102,132

Rintelman, Michael LPC .............. 175

Riordan, Katherine MD ............52,72

Riverarosado, Emanuel MD .........82

Rivertown Pharmacy Inc ........... 255

Rivertown Surgery Center ........ 149

Rives, Thomas MD ...........................26

Roberson, Caroljane MD ............ 122

Roberts, Brian MD ......................... 126

Roberts, Juliet OT ......................... 225

Roberts, Kimberly LPC ................ 187

Robinette, Lester CSW .............. 204

Robinson, Allyson LCSW ........... 167

Robinson, Christopher PA . 192,235

Robinson, Joshua MD .....................77

Robinson, Leroy MD ......................45

Robinson, Tricia APRN ................ 180

Rogers, Cheryl SLP ....................... 238

Rogers, Katelyn APRN ................. 179

Rogers, Lindsey ARNP ................. 216

Rogers, Mary LPC ........................... 175

Rogers, Susan SLP .......................... 241

Rogus, Bernard MD ........................ 90

Rollings, Jan LCSW .........198,199,204

Roman, John LCSW ...................... 204

Roode, Richard PA ........................235

Ropp, John MD ................................... 3

Rosi, David DO ..................................58

Rosner, Daniel MD ......................... 96

Ross, Mark MD ..................................77

Ross, Scott MD .................................20

Rotech .................................................153

Rowe, Llewellyn MD ......................67

Rowson, Abraham MD ...................10

Rozario, Catherine MD .................20

Ruggerio, Joseph APRN .............. 222

Rumley, Raleigh DO ..................20,26

Runyan, Chadley MD .................... 88

Ruonala Durable Medical Equipment ..........................................153

Rush, Amy LPC ................................ 175

Rush, Paul MD ....................................131

Russ, Brandi ARNP ......................... 179

Russell, Samuel OD .........................79

Ryan, Patrick DO ..............................20

Rzucidlo, Eva MD ................41,90,128

Saha, Sam MD .............................52,72

Salama, George MD ....................... 90

Samaha, Anne MD ............................10

Sams Club Pharmacy ........... 252,255

Samuel, Laura APRN ..................... 179

Sanders, Alexis PHD ........................85

Sanders, Lecole LCSW ................ 172

Sanders, Melanie MD .....................20

Sandhills Med Foundation ........ 142

Sandhills Medical Pharmacy .... 248

Sandoz, George MD ................ 110,114

Sansbury, Jilian MD ..........................29

Santana Alarcon, Lhissa MD .......131

Santiago, Kenneth MD ................ 107

Sasser, Paul MD ............................... 102

Saxon, Angela APRN ...............168,181

Saylor, Scott CRNA ...................... 170

Sc Department Of Juvenile Justice ..................... 142,143,144,145,149,156,157

Scearce, Edward PSYD ................. 86

Schaefer, Catherine MD ...............20

Schank, Stephanie SLP ................ 241

Scharstein, Jeffrey MD .................... 3

Schilsky, Suezen DC .......................49

Schimnowski, Amanda MD .........20

Schindler, Joycelyn MD .... 40,54,113

Schneider, Nicole PT ....................232

Schultz, Agnes MD ............................. 1

Schultz-Peters, Sandra APRN ...223

Sciarretta, Jason MD ..................... 102

Scott, Brian MD ............................... 99

Scott, Michele MD ...........................10

Scott, Sonja ARNP ...........................171

Scott, Vincent MD ..........................76

Scruggs, Miles OD ...........................47

Sealey, Darren DC ......................... 129

Seashore Drugs .............................. 255

Sebesto, Jason DO .................... 52,73

Sedwick, Carly PA ..........................235

Seif, Fadi MD ..................................... 86

Sellers, Donna APRN .................... 168

Seltzer, Samuel MD ............54,77,114

Senseney, Anna MD ................... 4,87

Serafin, Jeremy LPC ...................... 163

Sevilis, Theresa DO ................... 53,73

Shadiack, Anthony DO .................20

Shah, Vipul MD ................................ 66

Shakeel, Muhammad MD ........... 130

Sharma, Snigdha MD .................... 122

Shaver, Robin PA ............................235

Shea, Kevin MD ............................... 104

Shealy, Robin MD .............................. 6

Shelton, Heather MD ......................10

Shenouda, Hany MD ......................59

Sherrill, Phillip PT ............................232

Sherrys Meds And More Pharmacy .......................................... 255


37719585

Provider Index

S - cont.

T

Sherwin, David MD ........................... 3

Sheth, Rasesh PA ..............................211

Shissias, Charles MD ... 73,85,110,122

Shore, Neal MD .............................. 127

Shumate, Melissa PT .................... 166

Sibille, Joshua MD .......................... 102

Siegmund, Kelle OD ................ 79,117

Silbiger, Stephen MD .....................29

Simon Mcqueen, Ryedenna LPC ................................................................. 188

Simon-Mcqueen, Ryedenna LMHC .................................................. 175

Simpson, Jada ARNP ..................... 164

Sims, David MD ............................... 88

Sims, Whitney PA .......................... 186

Singh, Githa PT ................................232

Singh, Harmohan MD .................... 66

Singh, Inderpal MD .................. 69,132

Singh, Navdeep MD ...................... 60

Singh, Varinder MD ..........................10

Single, Daniel MD ............................ 119

Sizemore, Patrick MD ....................44

Skinner, Motte MD .................. 43,60

Skinner, Roland MD ........................73

Skinner, Wright MD .......................133

Skipper, Stephen DC ......................42

Skvarka, Christopher MD .............95

Slice, Allison CNP ........................... 182

Sloan, Charlotte APRN ................ 216

Sloan, Theresa LPC ....................... 236

Smalls, Chatonia CSW ................. 172

Smid, John MD ..................................131

Smith III, Charlie MD .............. 89,133

Smith, Allan CRNA ........................ 170

Smith, Amy APRN ................... 216,217

Smith, Cory MD .................... 10,43,60

Smith, Franklin OD ..........................117

Smith, James MD .................. 64,68,111

Smith, Justin CNP ...........................223

Smith, Lisa PA .................................. 187

Smith, Machelle APRN ................ 182

Smith, Morgan APRN ................... 182

Smith, Richard DO ........................... 12

Smith, Robert CSW ..................... 244

Smith, Sherry PT ............................ 245

Smith, Stephen MD .......................... 3

Smith, Tara APRN ..........................223

Smith, Tara NP ..................................30

Smock, Alison MD .......................... 69

Snapp, Isaac PA ....................... 166,186

Snyder, Michael MD ................. 53,73

Soles, Margaret SLP ...................... 241

Solheim, Vesna MD ........................97

Solstas Quest Diagnostics ......... 154

Sombutmai, Chut DO .............. 53,73

Sonfield, John MD ...........................63

Sood, Aditya MD .............................93

Soucy, Madeline APRN ...............223

South Carolina Youth Advocate Program .............................................. 149

Sparkman, Jeremy DO ...................82

Speaks, Dominique ARNP ............171

Spence, Thomas MD ....................... 13

Spence, Timothy MD ......................14

Spencer, Olinda MD ...................... 110

Spencer, Thomas MD ....................87

Sperling, Michael MD .....................29

Sponseller, Brian MD ........................ 3

Sponseller, Kevin MD ....................... 3

Sproul, Jack MD ................................47

Spurling, Timothy MD ....................61

Srivastava, Abhishek MD ............ 127

Stahl, Russell MD ............................ 124

Stanley, Christopher MD ....10,11,20

Stanley, Regina APRN .......... 179,223

Staples, Karen APRN .................... 217

States, Lindsey APRN ...................223

Steadman, Mark MD ........................ 11

Steele, Patrick CP ............................ 86

Steichen, John MD ................... 111,153

Steljes, Megan APRN ....................223

Stellingworth, Mark MD ...............42

Stephen, Natasha CNP ............... 179

Stephenson, Jennifer SLP .......... 238

Stevens, Holly SLP ......................... 188

Stevens, Jimmy PA .........................235

Stevenson, Robert PA ................. 186

Stewart, Caren LPC ....................... 210

Stewart, Danielle SLP .................. 238

Stewart, Martha LPC .................... 176

Sto Domingo, Judie PT ............... 245

Stoker, James PT ............................232

Stokes, Ernest PA ........................... 241

Stokes, Hunter MD ...................77,78

Stokes, Mark MD .......................77,78

Stone, Amanda DC .........................58

Stone, Harry MD ........................42,56

Stone, Kaitlin APRN ...................... 193

Stonerock, Charles MD ..................91

Stonerock, Emily MD .....................76

Stoughton, Thomas MD ...............57

Stranckmeyer, Shawn MD ...........97

Strand Gastrointestinal Endoscopy Center ........................ 149

Strauss, Louis MD ........................... 60

Streater, Patrycia ARNP .......162,164

Strickland, Gwendolyn PA ....... 243

Strickland, Laura PA ...................... 186

Strickland, Stephanie MD .............. 11

Stuart, Robert MD .................... 111,153

Stuckey Pharmacy ........................ 259

Stuckey, Dominica LPC .............. 244

Stull, Ashley OT ............................. 225

Stutler, Tammy LPC ...................... 210

Subnani, Kishore MD ..............66,107

Suffrant, Germina MD ...................76

Sullivan, Nekita PT .........................232

Sullivan, Scott MD ...........................67

Surratt, Susan ARNP ..................... 193

Sutton, Darin MD ............................ 96

Sutton, Michael DO .......................55

Sved, Amy APRN ..............................171

Swift, Catherine MD .................... 107

Tagliareni, Jonathan DDS ............. 80

Talbert, Wendy LPC .................... 236

Tanner, Scott CRNA ..................... 170

Tardy, Paul OT ............................... 226

Tatum, Charles MD .........................76

Taylor, Laura MD .................... 153,154

Taylor, Ross MD .............................. 119


37719585

Provider Index

T - cont.

U

V

W

Taype Perez De Roberts, Carmen MD ......................................................... 66

Tazi, Karim MD ..................................64

Teague, Allen LPC ...................199,210

Teague, Daloria LCSW ................ 167

Tedder, Tona APRN ...................... 164

Temple, Megan LPC ..................... 176

Terchek, Melissa MD .................... 108

Thasitis, Jessica ARNP .................. 217

The Alpha Behavioral Health Center ................................................. 142

The Medicine Cabinet ................ 252

The Medicine Shoppe ................ 255

The Mobility Center Of The Grand Strand ....................................153

The Pharmacy At Cmc ............... 255

The Pharmacy ................................. 252

Thomas, Brady CRNA .................. 170

Thomas, Chadwick MD ......... 39,129

Thomas, Jude MD ............................... 1

Thomas, Julie PA ............................. 186

Thomas, Shawn OD ........................117

Thompkins, Kathy APRN ........... 243

Thompson, Angel APRN ............. 165

Thompson, Donna LCSW . 199,205

Thompson, Kenneth DO ...............31

Thompson, Taylor APRN ... 179,247

Thumallapally, Nishitha MD ...... 103

Thurman, Chad DO ........................82

Thurman, Sarah MD .......................123

Tidelands Health Imaging .... 150,151

Tigist, Mehari MD ............................53

Timmons, Brittany APRN ........... 182

Timmons, Lindsey APRN ............ 182

Timmonsville Pharmacy ............ 252

Tizora, Sibonokuhle MD ... 26,33,35

Todd, Molly PT ...............................232

Tohid, Usman PA ............ 166,186,187

Tollison, Steven MD ................76,132

Tolmos, Jorge MD ............................39

Toman, Jordan MD ........................ 154

Tomlinson III, Samuel MD ............38

Tonkin, David MD .......................... 120

Toole, John MD ................................94

Torgersen, Keith CRNA ........167,170

Torosian, Valeriya OT ................. 226

Touloukian, Emily DO .................. 104

Townsend, Anna LPC ................... 176

Trader, Andrea CNP ..................... 164

Trant, Charles MD ...........................83

Trevino, Amanda ARNP .............. 217

Tri County Mental Health ......... 157

Trinh, Vinh DO ..................................29

Trinity Behavioral Care ............... 144

Troutman, Ina PA ...........................235

Troutman, Lucia PA ............. 235,236

Truesdale, Lakisha SLP ................ 238

Truluck, David MD ..........................93

Tucker Wells Medical Inc .......... 147

Tumbleson, Catherine PA ......... 236

Tunstall, Marsha LPC .................... 188

Turbeville, Lisa OD ..........................117

Turek, James MD ..............................26

Turner III, Robert MD .............. 87,88

Turner, Allison PT ..........................232

Turner, Amy PA ............................. 236

Turner, Robert MD ..........................87

Twaddle, Carianna PT ..................232

Twining, Jon MD ..............................123

Tyner, Christopher CRNA ......... 170

Tyner, Faith LPC ............................. 176

Tyree, Christopher DPM ............. 84

Tyson, Deidre MD ...........................83

Ulmer, John PA ................................ 184

Underwood, Timothy LPC .176,210

Unger, Patricia LPC ........................ 210

Vajapey, Geetanjali MD .......... 53,73

Valanta, Douglas MD ................ 53,73

Valdez, Orlando MD ................26,33

Valrie, Teah SLP ............................. 238

Vance, Darren PT ...........................233

Vance, Stephen MD ......................... 6

Vandergriff, Joseph MD ...........20,21

Vanderhave, Kelly MD ...................82

Varney, Michael MD .......................29

Vasuki, Nagavivek MD .............45,78

Vaught, Heather OD ......................117

Vaught, James Dylan OD ..............117

Vaught, James OD ...........................117

Vaught, Winston MD .................... 48

Vega, Jose MD ............................ 53,110

Vemuri, Praveen MD ..................... 110

Ventura, Katherine PA ................. 201

Vidgop, Yelana MD .............53,73,110

Villane, Kaycee PA ........................ 236

Villeneuve, Emery CRNA ............ 170

Vincent, Heather PA .................... 193

Vinson, Mark OD ........................... 130

Vinson, Tiffany MD ..........................21

Vistara Pharmacy .......................... 252

Vukov, Gary MD .............................. 99

Waccamaw Center For Mental Health ...........................................149,158

Waccamaw Crs ............................... 149

Wakefield, Hannah MD .............. 120

Walgreens Drug Store ................ 255

Walker, James SLP ........................ 238

Walker, Juliette MD .................. 33,34

Wall Drugs Of Johnsonville Inc ................................................................ 252

Wall Drugs Of Pamplico Inc .... 252

Wallace, Christy OD ...................... 80

Wallace, Donya LPC .............176,246

Wallace, James MD ........................... 6

Wallace, Lisa APRN ....................... 182

Wallace, Panora LPC ............. 159,163

Wallace, Robert OD ...................... 80

Wallace, Sara APRN ...................... 182

Walmart Pharmacy ............. 248,249,250,252,256,257,258

Walmart Vision Center .... 46,78,114

Walsh, Christopher MD .............. 120

Walter, Kevin DC .............................95

Walter, Lauren SLP ........................ 241

Walters, Sharon APRN ................ 179

Wangeh, Joseph MD ........................ 6

Wannamaker Drug ....................... 248


37719585

Provider Index

W - cont.

X

Y

Z

Wannamakers Drug Store ........ 248

Ward, Mary LPC .......199,200,210,211

Warren, Michelle SLP .................. 238

Washington, Dode MD .................113

Washington, Tonya MD ................. 4

Waterway Pharmacy .................. 256

Watson, Jerry MD ............................94

Watt, Nigel MD ................................82

Watts, Sylvia APRN ...................... 244

Weaver, Patricia APRN ............... 244

Weaver, Timothy APRN ............. 182

Wegmann, Jessica PA ................... 169

Weiner, Edward OD .......................117

Weingart, Kristin SLP ................... 239

Welch, Erin PT .................................233

Welch, Priscilla MD ........................... 4

Well Center Pharmacy ............... 252

Wells, Terrance LPC .............176,246

Wenner, Bryan DC ..........................58

West, Jesse PHD ...............................44

West, Timothy MD ....................... 104

Wheeler, Betty SLP ....................... 241

White, Amie Kaye PT ...................233

White, Cameron SLP ................... 239

White, Kristin SLP .......................... 188

White, Nicholas MD .......................63

White, Steven MD ..........................121

Whitehead, Alva MD ......................14

Whitehurst, Emily APRN ............223

Whiteside, Daniela MD .................78

Whiteside, William MD ............... 120

Whitley, Allie DO ..............................21

Whitman, Gretchen LPC ...... 176,211

Wicker, Maryum APRN ....... 164,180

Wicker, Sonia PA ............................ 187

Wiggins, Christi APRN ................. 182

Wightman, Haley SLP .................. 188

Wilcox, Scott LPC ......................... 176

Wilds, Linda APRN ....... 200,217,243

Wilfong, Charles OD ..................... 80

Wilkins, Francesca MD ..................59

Wilkinson, Laura LPC ......................211

Wilkoszewski, Artur MD ................21

Willard, Samantha APRN ............ 168

Williams, Jaymas CNP .................. 180

Williams, Leslie LPC ...................... 189

Williams, Liza APRN ..................... 247

Williams, Misty LPC .......................177

Williams, Ricki SLP ......................... 241

Williams, Ryan DO ............................. 11

Williams, Ryan OD ...........................117

Williams, Taylor OT ..................... 226

Williams, Tisha MD ...........................21

Williamsburg County Department On Alchol .......................................... 158

Williamsburg County Health Department ...................................... 158

Williamsburg Pharmacy ............. 259

Williamsburg Regional Hospital ................................................................. 140

Williamson, Heather LCSW ...... 169

Wilson, Addison MD ......................82

Wilson, Beverly APRN .........193,200

Wilson, Ryan APRN ....................... 217

Wilson, Tanya SLP ........................ 239

Wilson, Toni Marie CSW ............ 172

Wiltshire, Charlotte RD .... 200,224

Wineland, Rebecca MD ................76

Winkler, Gabor MD ................. 91,128

Wirt, Michelle PA .......................... 242

Wise, Garett OD ............................. 118

Witkowski, Mark DO .................... 102

Wolery, James MD ..........................67

Wolford, John MD ...........................61

Won, Mai MD .............................. 53,73

Wood, Joseph MD ................. 127,128

Woodberry, Elizabeth APRN ... 180

Woodberry, William MD ........... 130

Woodbury, David MD ............ 82,88

Woodward, Tracie APRN .......... 165

Wooten, Charles MD .....................87

Worsham, Heather APRN .......... 166

Worsham, Lauren APRN ............ 245

Worthington, Ward MD ....... 110,153

Wotherspoon, Barbara MD ........113

Wright Bruce, Barbara ARNP .... 164

Wright, Carol LSW .........................177

Wright, David MD ..........................133

Wright, Lisa MD ..........................21,153

Wynkoop, Aaron MD ................... 48

Wyont, Shannon PT ..................... 185

Xiong, Chue MD ................................21

Yarnal, James DO ............................ 66

Young, Desmond MD .................. 122

Young, Dierdre MD ......................... 12

Young, Eric MD ......................... 63,102

Young, Matthew MD ................... 128

Young, Richard MD ...............120,128

Young-Cline, Nicole SLP ............ 241

Zaenger, David MD ........................123

Zakhour, Isam MD ...........................78

Zaman, Mohammed DO ........ 53,73

Zaraket, Vera MD ..............................61

Zebian, Rami MD ............................. 86

Zein, Mohamad MD ........................87

Zeleke, Akal MD .............................. 60

Zeplin, Vincent OD ............47,80,118

Zito, Caroline SLP .......................... 241


37719585

Notice of Non-Discrimination

WellCare of South Carolina follows all federal civil rights laws. We do not exclude or treat people in a different

way based on race, color, national origin, age, disability or sex.

WellCare of South Carolina provides free aids and services to people with disabilities. We have sign language

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©WellCare 2018 SC8CADINS21077E_1800

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37719585

Se o Português for a sua língua materna, nós podemos traduzir para si.

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如果中文是您的母語，我們可以為您翻譯。我們也可以用其它格式

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37719585

अगर आपकी मात भाषा हिदी ि तो िम आप क लिए अनवाद कर सकत ि । िम आपको ि, ऑहियो और बड प ट जस अनय प म भी जानकारी द सकत ि । य सवाए पबना शलक ि । बस िम इस टोि ी नबर पर कॉि कर 1-888-588-9842 (TTY 711).

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Hakha Chin holh kha na hmangmi holh a si ahcun nangmah caah kan in leh piak khawh. Phun dang deuh in tuaktaan piaknak a simi mitcaw pawl rel khawhmi hmelchunhnak, aw le ca nganpi in chuah piaknak ti bantukin thawngthanhnak pek khawh na si thiamthiam. Hi tuah piakmi pawl hi a lak tein a si. Hika hin auh khawh kan si 1-888-588-9842 (TTY 711).

Si votre langue maternelle est le français, nous pouvons faire la traduction. Nous pouvons également vous fournir l’information dans des formats comme le braille, en version audio et imprimé en gros caractères. Ces services sont offerts gratuitement. Il suffit de nous appeler au numéro sans frais 1-888-588-9842 (TTY 711).

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(TTY 711)AM. vDRI

አማርኛ የመጀመሪያ ቋንቋዎ ከሆነ፣ ልናስተረጉምልዎ እንችላለን። በተጨማሪም መረጃዎቹን

በሌሎች የአቀራረብ መንገዶች ለምሳሌ፣ በብሬል፣ በድምጽ ቅጂ እና በትልልቅ ህትመቶች

መልክ ልንሰጥዎ እንችላለን። እነዚህ አገልገሎቶች ከክፍያ ነጻ ናቸው። በነጻ የስልክ መስመር

1-888-588-9842 ላይ (TTY 711) ላይ ይደውሉልን።

သင၏မခငဘာသာစကားက ျမနမာဘာသာျဖစသညဆလင ကြႏပတ႔ဘကက

သငအတြကဘာသာျပနေပးနငပါသည။ အခကအလကမားက မကမျမငစာ၊ အသဖင၊ႏငပႏပစာတ႔လ အျခားပစမားျဖင သငထေပးထားနငပါသည။ ထဝနေဆာငမႈမားသည အခမျဖစပါသည။ 1-888-588-9842 (TTY 711). မတဆင

ကြႏပတ႔ထ အေဝးေျပာခမကနဘ ေခၚဆနငပါသည။

37719585

37719585

www.wellcare.com/South-Carolina

1-888-588-9842 (TTY 711)

2021 South Carolina Provider Directory - Wellcare

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