Military Health Care Provider Health Providers - SOUTH CAROLINA
171000000X - Military Health Care Provider
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
List of 40 registered providers with a business address in South Carolina whose primary or secondary health provider taxonomy code is Military Health Care Provider, all registered as individuals.
100% Individual Providers (40)35% Female Providers (14)65% Male Providers (26)
List of Providers
| Provider Name | Type | Address | Medicare | PECOS | |
|---|---|---|---|---|---|
| SNOW ADLER | Individual | 670 BLVD DE FRANCE BEAUFORT, SC 29902 (843) 228-4237 | Non-Participating Provider | NO | |
| JEFFREY CAMERON BACKOFEN | Individual | 420 POLIFKA DR BLDG 1042 SHAW AFB, SC 29152 (803) 895-6191 | Non-Participating Provider | NO | |
| JEFFREY ALLAN BANKS | Individual | 420 POLIFKA DR BLDG 1042 SHAW AFB, SC 29152 (803) 895-6356 | Non-Participating Provider | YES | |
| BYRON BARBOUR | Individual | 670 BOULEVARD DE FRANCE PARRIS ISLAND, SC 29905 (843) 228-2505 | Non-Participating Provider | NO | |
| JOHN BUNKALL | Individual | NAVAL HEALTH CLINIC CHARLESTON, 110 NNPTC CIR GOOSE CREEK, SC 29445 (626) 429-3402 | Non-Participating Provider | NO | |
| TEMUJIN TOM CHAVEZ | Individual | 805 PAMPLICO HWY SUITE B-125 FLORENCE, SC 29505 (843) 674-6400 | Accepts Medicare | YES | |
| JOHN CONWAY | Individual | 203 WEST MAIN STREET SUITE E-1 LEXINGTON, SC 29072 (803) 873-8332 | Non-Participating Provider | NO | |
| BRITTANY COZART | Individual | 933 GEIGER BLVD BEAUFORT, SC 29906 (843) 228-7424 | Non-Participating Provider | YES | |
| CATHERINE SUZANNE DAVIS | Individual | 103 STUARD ST GAFFNEY, SC 29341 (864) 514-1080 | Non-Participating Provider | YES | |
| CHARLOTTE DEVORE | Individual | 670 BOULEVARD DE FRANCE BEAUFORT, SC 29902 (843) 228-4237 | Non-Participating Provider | NO | |
| JULIANA INFANTE GALANG | Individual | 4500 STUART ST MONCRIEF ARMY COMMUNITY HOSPITAL ATT: MCXL-PQ COLUMBIA, SC 29207 (803) 751-2618 | Non-Participating Provider | NO | |
| JUSTIN E GALLAGHER | Individual | 110 NNPTC CIR GOOSE CREEK, SC 29445 (843) 794-6649 | Non-Participating Provider | NO | |
| JOHN JOSEPH GIBBONS | Individual | 110 NAVAL NUCLEAR POWER TRAINING GOOSE CREEK, SC 29445 (843) 794-6000 | Non-Participating Provider | NO | |
| TARA NICOLE GRESHAM | Individual | 1050 REGISTER ST CHARLESTON, SC 29405 (843) 740-3147 | Non-Participating Provider | NO | |
| GARY LYNN HELTON | Individual | 4500 8TH DIVISION RD COLUMBIA, SC 29207 (662) 507-2231 | Non-Participating Provider | NO | |
| BUFFY HOWARD | Individual | 6439 GARNERS FERRY RD COLUMBIA, SC 29209 (803) 776-4000 | Non-Participating Provider | NO | |
| TRICIA JOSEPH | Individual | 110 NNPTC CIR GOOSE CREEK, SC 29445 (843) 794-7943 | Non-Participating Provider | NO | |
| KODY MICHAEL KLEINRICHERT | Individual | 598 GEIGER BLVD BEAUFORT, SC 29906 (231) 632-2989 | Non-Participating Provider | NO | |
| NATHAN LOREI | Individual | 110 NAVAL NUCLEAR POWER TRAINING COMMAND CIR GOOSE CREEK, SC 29445 (843) 794-6000 | Non-Participating Provider | NO | |
| WILLIAM SETH MAGIN | Individual | 96 JONATHAN LUCAS ST # 210 CHARLESTON, SC 29425 (843) 792-1767 | Accepts Medicare | YES | |
| VINCENT ANTHONY MANCINI | Individual | 27 HAGER RD BLUFFTON, SC 29910 (843) 228-3520 | Non-Participating Provider | NO | |
| AUSTIN LEE ROACH MCJUNKINS | Individual | 460 LANGDON ST SPARTANBURG, SC 29302 (864) 582-2411 | Accepts Medicare | YES | |
| JOSEPH LANDON MCKINLEY | Individual | 670 BOULEVARD DE FRANCE PARRIS ISLAND, SC 29905 (843) 228-5600 | Non-Participating Provider | NO | |
| DEE ALICE MOTON | Individual | 6350 WOODSIDE EXECUTIVE CT AIKEN, SC 29803 (706) 951-5812 | Non-Participating Provider | NO | |
| JOSEFA MUNDO | Individual | 3600 RIVERS AVE BOX 487 NAVHOSP NORTH CHARLESTON, SC 29405 (732) 272-6307 | Non-Participating Provider | NO | |
| JEFFREY MYERS | Individual | 420 POLIFKA DR SHAW AFB, SC 29152 (803) 895-6746 | Non-Participating Provider | YES | |
| ALEXANDER WILLIAM ORTIZ | Individual | 431 MEADOWLARK ST SHAW AFB, SC 29152 (803) 895-2273 | Non-Participating Provider | YES | |
| SEJAL PATEL | Individual | 4500 STUART ST MONCRIEF ARMY COMMUNITY HOSPITAL/CREDENTIALS COLUMBIA, SC 29207 (803) 751-2689 | Non-Participating Provider | NO | |
| RAYAN PAUL | Individual | 431 MEADOWLARK ST SHAW AFB, SC 29152 (803) 895-6466 | Non-Participating Provider | NO | |
| NICHOLAS PETRI | Individual | 142 HARRIS RD BEAUFORT, SC 29902 (843) 228-5600 | Non-Participating Provider | YES | |
| CHARLENE PIZZIMENTI | Individual | 1 PINCKNEY BLVD BEAUFORT, SC 29902 (843) 228-5600 | Non-Participating Provider | NO | |
| CHARLES THOMAS QUASNEY | Individual | 1 PINCKNEY BLVD BEAUFORT, SC 29902 (843) 614-9484 | Non-Participating Provider | YES | |
| BRITTANY MYCHAL RUSSELL | Individual | NAVAL HEALTH CLINIC CHARLESTON (NHCC) 110 NNPTC CIRCLE, BLDG. 2418 GOOSE CREEK, SC 29445 (843) 794-6450 | Non-Participating Provider | NO | |
| PAUL SANDERS | Individual | 4500 STUART ST MONCRIEF ARMY COMMUNITY HOSPITAL/CREDENTIALS COLUMBIA, SC 29207 (803) 751-2618 | Non-Participating Provider | NO | |
| TERESA JOY SOMMESE | Individual | 110 NNPTC CIR GOOSE CREEK, SC 29445 (843) 794-6567 | Non-Participating Provider | YES | |
| BRETT V. SORTOR | Individual | 2670 MILLS PARK DR ROCK HILL, SC 29732 (808) 271-9679 | Non-Participating Provider | NO | |
| MARC J STEVENS | Individual | 4500 STUART ST MONCRIEF ARMY COMMUNITY HOSPITAL/CREDENTIALS COLUMBIA, SC 29207 (803) 751-2618 | Non-Participating Provider | NO | |
| CALVIN TRAN | Individual | 110 NNPTC CIR GOOSE CREEK, SC 29445 (843) 794-6000 | Non-Participating Provider | YES | |
| LUCAS LEE VAN WAY | Individual | 598 GEIGER BLVD BEAUFORT, SC 29904 (843) 228-7186 | Non-Participating Provider | YES | |
| JEROME YELDER | Individual | 1101 BELLEVIEW ST STE 104 COLUMBIA, SC 29201 (803) 937-1623 | Non-Participating Provider | NO |
Showing page 1 of 1. The results table displays up to 100 results per page and is sorted by last name / organization name.
Individual Female Provider | Individual Male Provider | Medical Organization
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