George F Harris (NPI# 1689885659, PAC ID# 5294900205) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1689885659 |
| PAC ID by PECOS | 5294900205 |
| Professional Enrollment ID | I20111202000211 |
| Full Name | George F Harris |
| Organization Legal Name | COASTAL CAROLINA MULTISPECIALTY ASSOCIATES LLC |
| Address |
295 A Midland Pkwy Suite 120 Summerville SC 29485-5901 |
| Phone Number | 8438758994 |
| Gender | M |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 9931105046 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420079 | TRIDENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 295 A Midland Pkwy, Suite 120, Summerville, SC 29485-5901 | 8438758994 | COASTAL CAROLINA MULTISPECIALTY ASSOCIATES LLC |
| Organization Legal Name | COASTAL CAROLINA MULTISPECIALTY ASSOCIATES LLC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Kalv | Orthopedic Surgery | Coastal Carolina Multispecialty Associates LLC | 295 A Midland Pkwy, Suite 260, Summerville, SC 29485-5901 |
| Christine Philbrick Brusman | Nurse Practitioner | Coastal Carolina Multispecialty Associates LLC | 9304 Medical Plaza Dr, Suite D, Charleston, SC 29406-9143 |
| Todd L Allen | Obstetrics/gynecology | Coastal Carolina Multispecialty Associates LLC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Diana D Axiotis | Physician Assistant | Coastal Carolina Multispecialty Associates LLC | 295 Midland Pkwy, Summerville, SC 29485-8104 |
| Darren Sidney | Cardiac Electrophysiology | Coastal Carolina Multispecialty Associates LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Michael Michel | General Surgery | Coastal Carolina Multispecialty Associates LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Brooke Elizabeth Watson | Physician Assistant | Coastal Carolina Multispecialty Associates LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| David C Blease | Physician Assistant | Coastal Carolina Multispecialty Associates LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Robbie H Taha | Internal Medicine | Coastal Carolina Multispecialty Associates LLC | 120 Medical Park Dr, Walterboro, SC 29488-5719 |
| Karl D Stiegler | General Surgery | Coastal Carolina Multispecialty Associates LLC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Street Address |
295 A MIDLAND PKWY SUITE 120 |
| City | SUMMERVILLE |
| State | SC |
| Zip | 29485-5901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Kalv | Orthopedic Surgery | Coastal Carolina Multispecialty Associates LLC | 295 A Midland Pkwy, Suite 260, Summerville, SC 29485-5901 |
| Cary Nelson Davis Fishburne Jr. | Obstetrics/gynecology | Coastal Carolina Multispecialty Associates LLC | 295 A Midland Pkwy, Summerville, SC 29485-5901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn J Gershkowitz | Nurse Practitioner | Equilibrium Endocrinology, Pa | 4340 Ladson Rd, Summerville, SC 29485 |
| Robert Stephen Iannace Jr. | Chiropractic | 1357 Bacons Bridge Rd, Summerville, SC 29485-3335 | |
| Marci H Woods | Nurse Practitioner | Roper Saint Francis Physicians Network | 9500 Dorchester Rd, Suite 362, Summerville, SC 29485-4304 |
| Judith L Hoffman | Clinical Social Worker | 89 B Old Trolley Rd, Suite 209, Summerville, SC 29485-4933 | |
| Christopher John Jones | Psychiatry | 709 Old Trolley Rd, Summerville, SC 29485-5203 | |
| Susan S Crocker | Psychiatry | 709 Old Trolley Rd, Summerville, SC 29485-5203 | |
| Christine Diane Hamolia | Certified Clinical Nurse Specialist (cns) | 709 Old Trolley Rd, Summerville, SC 29485-5203 | |
| James C Turn | Chiropractic | Willturn PC | 705 Old Trolley Rd E, Summerville, SC 29485-5212 |
| Thomas Edewaard | Optometry | 705 Old Trolley Rd A, Summerville, SC 29485-5212 | |
| Virginia Chetverikov | Optometry | Mobile Vision of South Carolina LLC | 717 Trolley Rd, Summerville, SC 29485-5287 |
| Find all physicians in zip 29485 | |||
| City | SUMMERVILLE |
| Zip Code | 29485 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SUMMERVILLE + OTOLARYNGOLOGY |
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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.