Lillian G Stukes Douglas (NPI# 1952643124, PAC ID# 2769625912) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1952643124 |
PAC ID by PECOS | 2769625912 |
Professional Enrollment ID | I20130906000876 |
Full Name | Lillian G Stukes Douglas |
Organization Legal Name | COLONIAL FAMILY PRACTICE LLC |
Address |
1036 Professional Ct Manning SC 29102-2827 |
Phone Number | 8037735227 |
Gender | F |
Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
Graduation Year | 2012 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 9931017118 |
Number of Group Practice Members | 37 |
Accepts Medicare Assignment | M |
Claim Control Number (CCN) | Legal Business Name |
---|---|
420109 | MCLEOD HEALTH CLARENDON |
Address | Phone | Organization |
---|---|---|
1036 Professional Ct, Manning, SC 29102-2827 | 8037735227 | COLONIAL FAMILY PRACTICE LLC |
325 Broad St, Suite 100, Sumter, SC 29150-4167 | 8037735227 | COLONIAL FAMILY PRACTICE LLC |
Organization Legal Name | COLONIAL FAMILY PRACTICE LLC |
Physicians | 37 |
Name | Specialty | Organization | Address |
---|---|---|---|
Barbara Jean Epps | Nurse Practitioner | Colonial Family Practice LLC | 26 Wesmark Ct, Sumter, SC 29150-1996 |
Matthew Furman | Anesthesiology | Colonial Family Practice LLC | 215 W Hampton Ave, Sumter, SC 29150-4911 |
David Glenn Whaley Jr. | Family Medicine | Colonial Family Practice LLC | 674 W Liberty St, Sumter, SC 29150-4882 |
Gina G Wilson | Nurse Practitioner | Colonial Family Practice LLC | 1013 Professional Ct, Suite C, Manning, SC 29102-2827 |
Jill C Lewis | Nurse Practitioner | Colonial Family Practice LLC | 4700 Forest Dr, Columbia, SC 29206-3119 |
Christopher M Mahr | Family Medicine | Colonial Family Practice LLC | 698 Bultman Dr, A, Sumter, SC 29150-2549 |
Ike Stewart | Family Medicine | Colonial Family Practice LLC | 308 W Mark Blvd, Sumter, SC 29150-1977 |
Kimberly Reisenauer | Physician Assistant | Colonial Family Practice LLC | 385 W Wesmark Blvd, Sumter, SC 29150-1987 |
Jason M Leonard | Family Medicine | Colonial Family Practice LLC | 385 W Wesmark Blvd, Sumter, SC 29150-1987 |
Edward J Meyers | General Practice | Colonial Family Practice LLC | 1013 Professional Ct, Suite A, Manning, SC 29102-2827 |
Street Address |
1036 PROFESSIONAL CT |
City | MANNING |
State | SC |
Zip | 29102-2827 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brent D Carraway | Chiropractic | Physicians Health and Injury Clinic | 608 S Mill St, Manning, SC 29102-2807 |
Duangmani Friday | Chiropractic | Physicians Health and Injury Clinic | 608 S Mill St, Manning, SC 29102-2807 |
Gina G Wilson | Nurse Practitioner | Colonial Family Practice LLC | 1013 Professional Ct, Suite C, Manning, SC 29102-2827 |
David C Isbell | Cardiovascular Disease (cardiology) | Columbia Heart Clinic Pa | 1017 Professional Ct, Manning, SC 29102-2827 |
Edward J Meyers | General Practice | Colonial Family Practice LLC | 1013 Professional Ct, Suite A, Manning, SC 29102-2827 |
Walter R Mazzei Jr. | Cardiac Electrophysiology | Columbia Heart Clinic Pa | 1017 Professional Ct, Manning, SC 29102-2827 |
Kimberly A Kirton | Nurse Practitioner | Palmetto Health-university of South Carolina Medical Group | 1017 Professional Ct, Manning, SC 29102-2827 |
Marion Timothy Wells | Interventional Cardiology | Columbia Heart Clinic Pa | 1017 Professional Ct, Manning, SC 29102-2827 |
David R Trigg | Family Medicine | Colonial Family Practice LLC | 1013 Professional Ct, Suite A, Manning, SC 29102-2827 |
Julie B Miles | Nurse Practitioner | Colonial Family Practice LLC | 1013 Professional Ct, Suite A, Manning, SC 29102-2827 |
Find all physicians in zip 29102 |
City | MANNING |
Zip Code | 29102 |
Specialty | NURSE PRACTITIONER |
City + Specialty | MANNING + 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.