Marsha G Delavan (NPI# 1275597742, PAC ID# 0244268704) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1275597742 |
PAC ID by PECOS | 0244268704 |
Professional Enrollment ID | I20120119000833 |
Full Name | Marsha G Delavan |
Address |
7610 Hwy 164 Hollywood SC 29449-5934 |
Gender | F |
Graduation Year | 1982 |
Primary Specialty | PHYSICIAN ASSISTANT |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
7610 Hwy 164, Hollywood, SC 29449-5934 |
Street Address |
7610 HWY 164 |
City | HOLLYWOOD |
State | SC |
Zip | 29449-5934 |
City | HOLLYWOOD |
Zip Code | 29449 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | HOLLYWOOD + PHYSICIAN ASSISTANT |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.