Shea Brock (NPI# 1972907699, PAC ID# 0749503431) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1972907699 |
| PAC ID by PECOS | 0749503431 |
| Professional Enrollment ID | I20150105001503 |
| Full Name | Shea Brock |
| Organization Legal Name | MINUTECLINIC DIAGNOSTIC SOUTH CAROLINA LLC |
| Address |
1888 Boiling Springs Rd Boiling Springs SC 29316-5124 |
| Phone Number | 8663892727 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8527126861 |
| Number of Group Practice Members | 126 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1888 Boiling Springs Rd, Boiling Springs, SC 29316-5124 | 8663892727 | MINUTECLINIC DIAGNOSTIC SOUTH CAROLINA LLC |
| 698 Fairview Rd, Simpsonville, SC 29680-6708 | 8663892727 | MINUTECLINIC DIAGNOSTIC SOUTH CAROLINA LLC |
| Organization Legal Name | MINUTECLINIC DIAGNOSTIC SOUTH CAROLINA LLC |
| Physicians | 157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhiana Langley | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 1303 38th Ave N, Myrtle Beach, SC 29577-1315 |
| Karen A Roth | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 333 Lancaster Byp E, Lancaster, SC 29720-4758 |
| Christan Blatchford | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 1676 N Hwy 17, Mount Pleasant, SC 29464-3310 |
| Kathryn Billings | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 10 Pope Ave, Hilton Head Island, SC 29928-4719 |
| Stacie M Pollock | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 3710 Hwy 17, Murrells Inlet, SC 29576-5005 |
| Michelle Whitaker | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 2062 Whiskey Rd, Aiken, SC 29803-6183 |
| Melissa L Motes | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 3300 Wade Hampton Blvd, Taylors, SC 29687-2902 |
| Glenda Truesdell Collins | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 2373 Augusta Hwy, Lexington, SC 29072-2213 |
| Nancy Lloyd | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 698 Fairview Rd, Simpsonville, SC 29680-6708 |
| Latoyha T Green | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 900 Assembly St, Columbia, SC 29201-3938 |
| Street Address |
1888 BOILING SPRINGS RD |
| City | BOILING SPRINGS |
| State | SC |
| Zip | 29316-5124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blair Gault | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 1888 Boiling Springs Rd, Boiling Springs, SC 29316-5124 |
| Emily M Lane | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 1888 Boiling Springs Rd, Boiling Springs, SC 29316-5124 |
| Eric T Chesney | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 1888 Boiling Springs Rd, Boiling Springs, SC 29316-5124 |
| Mariya Sharamet | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 1888 Boiling Springs Rd, Boiling Springs, SC 29316-5124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles K Vuyiya | Chiropractic | 8301 Asheville Hwy, Boiling Springs, SC 29316-1501 | |
| Elliott Michael Keller | Optometry | 8674 Asheville Hwy, Boiling Springs, SC 29316-4606 | |
| Billy J Haguewood Jr. | Ophthalmology | Palmetto Eye and Laser Center LLC | 1520 Boiling Springs Rd, Boiling Springs, SC 29316-5121 |
| Jamie C Goodman | Family Medicine | Prisma Health University Medical Group | 2400 Boiling Springs Rd, Suite A, Boiling Springs, SC 29316-5304 |
| Nathaniel Mann | Emergency Medicine | Prisma Health University Medical Group | 2400 Boiling Springs Rd, Suite A, Boiling Springs, SC 29316-5304 |
| Allan Lee Gilmer | Family Medicine | Prisma Health University Medical Group | 2400 Boiling Springs Rd, Suite A, Boiling Springs, SC 29316-5304 |
| Justine Catherine Liptak | Family Medicine | Prisma Health University Medical Group | 2400 Boiling Springs Rd, Suite A, Boiling Springs, SC 29316-5304 |
| Chelsea Marie Burgin | Emergency Medicine | Prisma Health University Medical Group | 2400 Boiling Springs Rd, Suite A, Boiling Springs, SC 29316-5304 |
| Donald Edward Anderson | Family Medicine | Prisma Health University Medical Group | 2400 Boiling Springs Rd, Suite A, Boiling Springs, SC 29316-5304 |
| Erica Leigh Gardner | Nurse Practitioner | Prisma Health University Medical Group | 2400 Boiling Springs Rd, Suite A, Boiling Springs, SC 29316-5304 |
| Find all physicians in zip 29316 | |||
| City | BOILING SPRINGS |
| Zip Code | 29316 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BOILING SPRINGS + NURSE PRACTITIONER |
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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.