Rebecca A Fullam (NPI# 1750396388, PAC ID# 4183653033) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1750396388 |
| PAC ID by PECOS | 4183653033 |
| Professional Enrollment ID | I20060208000710 |
| Full Name | Rebecca A Fullam |
| Organization Legal Name | KERSHAW CLINICS LLC |
| Address |
1315 Roberts St Camden SC 29020-3737 |
| Phone Number | 8034324311 |
| Gender | F |
| Credential | NP |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6608176987 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420048 | KERSHAWHEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1315 Roberts St, Camden, SC 29020-3737 | 8034324311 | KERSHAW CLINICS LLC |
| Organization Legal Name | KERSHAW CLINICS LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Wall Crawford | Nurse Practitioner | Kershaw Clinics LLC | 40 Pinnacle Pkwy, Suite 208, Elgin, SC 29045-8390 |
| Thomas Williamson | Gastroenterology | Kershaw Clinics LLC | 1102 Roberts St, Camden, SC 29020-3734 |
| Guy B Kahler | Emergency Medicine | Kershaw Clinics LLC | 1111 Mill St, Camden, SC 29020-3763 |
| Jeanann Vawter | Nurse Practitioner | Kershaw Clinics LLC | 40 Pinnacle Pkwy, Suite 212, Elgin, SC 29045-8390 |
| John Parrott | Orthopedic Surgery | Kershaw Clinics LLC | 40 Pinnacle Pkwy, Suite 104, Elgin, SC 29045-8390 |
| Edward A Gill | General Surgery | Kershaw Clinics LLC | 1102 Roberts St, Camden, SC 29020-3734 |
| Milford Berten Hutchinson Iii | Obstetrics/gynecology | Kershaw Clinics LLC | 1315 Roberts St, Camden, SC 29020-3737 |
| Kevin Michael Nasky | Psychiatry | Kershaw Clinics LLC | 1315 Roberts St, Camden, SC 29020-3737 |
| Manish Patel | Urology | Kershaw Clinics LLC | 1315 Roberts St, Camden, SC 29020-3737 |
| Jessica Leigh Davis Atkinson | Nurse Practitioner | Kershaw Clinics LLC | 1315 Roberts St, Camden, SC 29020-3737 |
| Street Address |
1315 ROBERTS ST |
| City | CAMDEN |
| State | SC |
| Zip | 29020-3737 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joyce L Leatherman | Certified Registered Nurse Anesthetist (crna) | Kershaw Anesthesia LLC | 1315 Roberts St, Camden, SC 29020-3737 |
| Dharmendra Bhaskaran | Internal Medicine | App of South Carolina Hm Pllc | 1315 Roberts St, Camden, SC 29020-3737 |
| William Anderson Dunovant Jr. | Hospitalist | Apogee Medical Group South Carolina | 1315 Roberts St, Camden, SC 29020-3737 |
| Daniel Ray Crow | Emergency Medicine | App of South Carolina Hm Pllc | 1315 Roberts St, Camden, SC 29020-3737 |
| Eileen Kelly Brown | Certified Registered Nurse Anesthetist (crna) | Kershaw Anesthesia LLC | 1315 Roberts St, Camden, SC 29020-3737 |
| Bradley J Marcus | Pathology | Professional Pathology Services PC | 1315 Roberts St, Camden, SC 29020-3737 |
| Elizabeth M Bemis | Certified Registered Nurse Anesthetist (crna) | Kershaw Anesthesia LLC | 1315 Roberts St, Camden, SC 29020-3737 |
| Jason M Richard | Certified Registered Nurse Anesthetist (crna) | Kershaw Anesthesia LLC | 1315 Roberts St, Camden, SC 29020-3737 |
| Tommy M Webb | Certified Registered Nurse Anesthetist (crna) | Kershaw Anesthesia LLC | 1315 Roberts St, Camden, SC 29020-3737 |
| Paul Lorraine Guerry Iii | Pathology | Professional Pathology Services PC | 1315 Roberts St, Camden, SC 29020-3737 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Nicole Jones | Nurse Practitioner | Lowcountry Urgent Care LLC | 2010 W Dekalb St, Camden, SC 29020-2058 |
| Sandra D Randolph | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| Chanelle C Jackson | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| Janette M Capaci | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| Sandra A Jones | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| Patricia A Siefferman | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| Jonathan Braun Ksor | Podiatry | Carolina Podiatry Clinic LLC | 2502 Broad St, Camden, SC 29020-2225 |
| John Ksor | Podiatry | Carolina Podiatry Clinic LLC | 2502 Broad St, Camden, SC 29020-2225 |
| James Huger Richardson | Cardiovascular Disease (cardiology) | Providence Group Practices II LLC | 1330 Haile St, Camden, SC 29020-3002 |
| Venkateshwar K Gottipaty | Cardiac Electrophysiology | Providence Group Practices II LLC | 1330 Haile St, Camden, SC 29020-3002 |
| Find all physicians in zip 29020 | |||
| City | CAMDEN |
| Zip Code | 29020 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CAMDEN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Rebecca A Fullam.
| 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.