Clarence William Wimberly Jr. (NPI# 1932190139, PAC ID# 1254245814) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1932190139 |
PAC ID by PECOS | 1254245814 |
Professional Enrollment ID | I20100929001506 |
Full Name | Clarence William Wimberly Jr. |
Address |
435 N Cedar St Summerville SC 29483-6407 |
Gender | M |
Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
Graduation Year | 1969 |
Primary Specialty | FAMILY PRACTICE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
420079 | TRIDENT MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
435 N Cedar St, Summerville, SC 29483-6407 | ||
435 N Cedar St, Summerville, SC 29483-6495 | 8436956071 | PALMETTO PRIMARY CARE PHYSICIANS |
Street Address |
435 N CEDAR ST |
City | SUMMERVILLE |
State | SC |
Zip | 29483-6407 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brian K Keller | Family Medicine | Palmetto Primary Care Physicians | 435 N Cedar St, Summerville, SC 29483-6495 |
Jennifer L Repaskey | Physician Assistant | Palmetto Primary Care Physicians | 435 N Cedar St, Summerville, SC 29483-6495 |
Alisa Whittington | Nurse Practitioner | Palmetto Primary Care Physicians | 435 N Cedar St, Summerville, SC 29483-6495 |
Jack A Stauffer | Nurse Practitioner | Palmetto Primary Care Physicians | 435 N Cedar St, Summerville, SC 29483-6495 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jennifer C Bonner | Audiologist | Audiology Services Company Usa LLC | 107 W 5th N St, Summerville, SC 29483 |
Kelsea Jordan Shiner | Physical Therapy | Rsfh - Ati Physical Therapy LLC | 330 E 5th N St, Suite Dande, Summerville, SC 29483-0702 |
Elizabeth Grace Klauss | Physical Therapy | Rsfh - Ati Physical Therapy LLC | 330 E 5th N St, Suite Dande, Summerville, SC 29483-0702 |
Jason Roy Fisher | Physical Therapy | Rsfh - Ati Physical Therapy LLC | 330 E 5th N St, Suite Dande, Summerville, SC 29483-0702 |
Jennifer M Pero | Chiropractic | Precision Chiropractic LLC | 330 E 5th N St, Suite A, Summerville, SC 29483-0702 |
Samara M Warrick | Chiropractic | Precision Chiropractic LLC | 330 E 5th N St, Suite A, Summerville, SC 29483-0702 |
Matthew Angelo Hassig | Physical Therapy | Rsfh - Ati Physical Therapy LLC | 330 E 5th N St, Suite Dande, Summerville, SC 29483-0702 |
Thomas Mercante | Chiropractic | 1115 Central Ave, Unit C, Summerville, SC 29483-3072 | |
Kristin M Pirolli | Physical Therapy | 1240 Central Ave B, Summerville, SC 29483-3148 | |
Jeffrey Patrick Kraichely | Chiropractic | 1240 A Central Ave, Summerville, SC 29483-3148 | |
Find all physicians in zip 29483 |
City | SUMMERVILLE |
Zip Code | 29483 |
Specialty | FAMILY PRACTICE |
City + Specialty | SUMMERVILLE + FAMILY PRACTICE |
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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.