Military Health Care Provider Independent Duty Corpsman Health Providers - SOUTH CAROLINA
1710I1002X - Military Health Care Provider Independent Duty Corpsman
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
List of 28 registered providers with a business address in South Carolina whose primary or secondary health provider taxonomy code is Military Health Care Provider Independent Duty Corpsman, of which 1 are registered as organizations and 27 as individuals.
96% Individual Providers (27)4% Medical Organizations (1)21% Female Providers (6)75% Male Providers (21)
List of Providers
| Provider Name | Type | Address | Medicare | PECOS | |
|---|---|---|---|---|---|
| ANGEL SKIES LLC FABULOSITY LLC. | Organization | 1748 LITTLE TEXAS RD TRAVELERS REST, SC 29690 (575) 741-8816 | Non-Participating Provider | NO | |
| MATTHEW BARNHART | Individual | MCAS BRANCH HEALTH CLINIC BEAUFORT, SC 29904 (843) 228-7982 | Non-Participating Provider | NO | |
| HEIDI KATHLEEN BENNETT | Individual | 5617 N RHETT AVE NORTH CHARLESTON, SC 29406 (843) 834-9881 | Non-Participating Provider | NO | |
| JUAN CAMACHOACLDERON | Individual | 204 MAPLEWOOD RIDGE SUMMERVILLE, SC 29483 (410) 841-4747 | Non-Participating Provider | NO | |
| SAMUEL JASON CLARK | Individual | 1 PINCKNEY BLVD BEAUFORT, SC 29902 (843) 228-5600 | Non-Participating Provider | NO | |
| JOHN COATES | Individual | 1 PINCKNEY BLVD BEAUFORT, SC 29902 (843) 228-1319 | Non-Participating Provider | NO | |
| MICHAEL OWEN CONGDON | Individual | 1 PINCKNEY BLVD BEAUFORT, SC 29902 (843) 228-2318 | Non-Participating Provider | NO | |
| JOSHUA WILLIAM CRUM | Individual | 7 SADDLEMOUNT LN SIMPSONVILLE, SC 29680 (910) 440-7703 | Non-Participating Provider | NO | |
| ANTHONY ALLEN DOWELL | Individual | 670 BLVD DE FRANCE PARRIS ISLAND, SC 29905 (843) 228-4757 | Non-Participating Provider | NO | |
| LAURIN EASON | Individual | 1050 REGISTER ST NORTH CHARLESTON, SC 29405 (843) 308-9638 | Non-Participating Provider | NO | |
| KOREY RICHARD GRAETTINGER | Individual | 100 HEALTHY WAY STE 1120 ANDERSON, SC 29621 (864) 512-4530 | Accepts Medicare | YES | |
| DENNIS JASON GREEN | Individual | 1050 REMOUNT RD NORTH CHARLESTON, SC 29406 (843) 743-7000 | Non-Participating Provider | NO | |
| TARA NICOLE GRESHAM | Individual | 1050 REGISTER ST CHARLESTON, SC 29405 (843) 740-3147 | Non-Participating Provider | NO | |
| MATTHEW DAVID HALL | Individual | 1 PINCKNEY BLVD BEAUFORT, SC 29902 (843) 228-4771 | Non-Participating Provider | NO | |
| HEATHER JOHNSON | Individual | 1050 REGISTER ST CHARLESTON, SC 29405 (438) 308-9662 | Non-Participating Provider | NO | |
| VICTORIA LARIOS | Individual | 1050 REGISTER ST NORTH CHARLESTON, SC 29405 (843) 529-0158 | Non-Participating Provider | NO | |
| TREVOR JOE LARSON | Individual | 670 BOULEVARD DE FRANCE BEAUFORT, SC 29902 (808) 285-7857 | Non-Participating Provider | NO | |
| EDWIN RAY LASHLEY | Individual | NAVAL HOSPITAL 3600 RIVERS AVE N. CHARLESTON, SC 29405 (843) 743-7214 | Non-Participating Provider | NO | |
| TIMOTHY MACON | Individual | 123 SULLY ST GOOSE CREEK, SC 29445 (843) 797-0003 | Non-Participating Provider | NO | |
| CHERYL R MURPHY | Individual | 669 BLVD DE FRANCE BRANCH HEALTH CLINIC PARRIS ISLAND, SC 29905 (843) 228-2562 | Non-Participating Provider | NO | |
| ANDRES M NARANJO | Individual | 1050 REMOUNT RD BLDG 3107 NORTH CHARLESTON, SC 29406 (843) 794-0053 | Non-Participating Provider | NO | |
| CHRISTOPHER PETERSON | Individual | 3600 RIVERS AVE N CHARLESTON, SC 29405 (843) 574-8242 | Non-Participating Provider | NO | |
| GERALD DICKSON RAMONES | Individual | 1 PINCKNEY BLVD MCRD PARRIS ISLAND, BHC PARRIS ISLAND BEAUFORT, SC 29902 (843) 228-3335 | Non-Participating Provider | NO | |
| ROBERT LEE ROSEBERRY | Individual | 1 PINCKNEY BLVD BEAUFORT, SC 29902 (843) 228-3633 | Non-Participating Provider | NO | |
| ERNST SCHETTINI | Individual | 1 PINCKNEY BLVD BEAUFORT, SC 29902 (843) 228-3335 | Non-Participating Provider | NO | |
| STEVEN SAUL VALDERRAMA | Individual | 670 BOULEVARD DE FRANCE BEAUFORT, SC 29902 (843) 228-2236 | Non-Participating Provider | NO | |
| MATTHEW SHAUN WOODRUFF | Individual | POST OFFICE BOX 66038 MARINE AIRCRAFT GROUP 31 BEAUFORT, SC 29904 (843) 228-6257 | Non-Participating Provider | NO | |
| KELLY LYNN YOUNGERMAN | Individual | 110 NNPTC CIR GOOSE CREEK, SC 29445 (843) 794-6228 | 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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- 171000000X
- 1710I1003X
