Jacquelyn Suzanne Gill (NPI# 1194145615, PAC ID# 3779704010) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1194145615 |
| PAC ID by PECOS | 3779704010 |
| Professional Enrollment ID | I20171024003274 |
| Full Name | Jacquelyn Suzanne Gill |
| Organization Legal Name | TANDEM HEALTH SC |
| Address |
25 E Clark St Pinewood SC 29125-8989 |
| Phone Number | 8037744500 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3870575855 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420070 | TUOMEY HEALTHCARE SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 25 E Clark St, Pinewood, SC 29125-8989 | 8037744500 | TANDEM HEALTH SC |
| 1278 N Lafayette Dr, Sumter, SC 29150-2964 | 8037744500541 | TANDEM HEALTH SC |
| Organization Legal Name | TANDEM HEALTH SC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard A Hall Iii | Nurse Practitioner | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Aboagye Agyenim-boateng | Obstetrics/gynecology | Tandem Health Sc | 319 N Main St, Sumter, SC 29150-4258 |
| Joel J Snipe | Obstetrics/gynecology | Tandem Health Sc | 370 S Pike W, Sumter, SC 29150-2664 |
| Leslie R Justice | Certified Clinical Nurse Specialist (cns) | Tandem Health Sc | 25 E Clark St, Pinewood, SC 29125-8989 |
| Michael B Coseo | Registered Dietitian Or Nutrition Professional | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Jonathan P Ashley | Family Medicine | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Karen Page | Clinical Social Worker | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Richard A Wall Jr. | Family Medicine | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Lydia C Elliott | Certified Nurse Midwife (cnm) | Tandem Health Sc | 319 N Main St, Sumter, SC 29150-4258 |
| Frederick C. Stone | Family Medicine | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Street Address |
25 E CLARK ST |
| City | PINEWOOD |
| State | SC |
| Zip | 29125-8989 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie R Justice | Certified Clinical Nurse Specialist (cns) | Tandem Health Sc | 25 E Clark St, Pinewood, SC 29125-8989 |
| Donna G Mizelle | Family Medicine | Tandem Health Sc | 25 E Clark St, Pinewood, SC 29125-8989 |
| Ashley R Munn | Nurse Practitioner | Colonial Family Practice LLC | 25 E Clark St, Pinewood, SC 29125-8989 |
| City | PINEWOOD |
| Zip Code | 29125 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PINEWOOD + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jacquelyn Suzanne Gill.
| 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.