Jennifer R Stolin (NPI# 1710274295, PAC ID# 6507159076) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1710274295 |
| PAC ID by PECOS | 6507159076 |
| Professional Enrollment ID | I20160720002166 |
| Full Name | Jennifer R Stolin |
| Organization Legal Name | PALMETTO PRIMARY CARE PHYSICIANS |
| Address |
110 Springhall Dr Suite B Goose Creek SC 29445-5335 |
| Phone Number | 8438283421 |
| Gender | F |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4880508068 |
| Number of Group Practice Members | 133 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420079 | TRIDENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 110 Springhall Dr, Suite B, Goose Creek, SC 29445-5335 | 8438283421 | PALMETTO PRIMARY CARE PHYSICIANS |
| Organization Legal Name | PALMETTO PRIMARY CARE PHYSICIANS |
| Physicians | 137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Phillips | Nurse Practitioner | Palmetto Primary Care Physicians | 7 S Alliance Dr, Suite 211b, Goose Creek, SC 29445-7269 |
| Lori M Roses | Qualified Audiologist | Palmetto Primary Care Physicians | 3495 Iron Horse Rd, Ladson, SC 29456-4319 |
| Kori A Frank | Nurse Practitioner | Palmetto Primary Care Physicians | 115 Executive Pkwy, Moncks Corner, SC 29461-3955 |
| Sasha Milleman Perez | Family Medicine | Palmetto Primary Care Physicians | 3030 Ashley Town Ctr Dr, Suite 102a, Charleston, SC 29414-5678 |
| Jillian Clesi | Physician Assistant | Palmetto Primary Care Physicians | 5325 Appian Way, Charleston, SC 29420-7234 |
| Lynn Ann Leclerc | Nurse Practitioner | Palmetto Primary Care Physicians | 113 Willbrook Blvd, Unit F, Pawleys Island, SC 29585-8245 |
| Candice Alise Jones | Nurse Practitioner | Palmetto Primary Care Physicians | 809 N Cedar St, Summerville, SC 29483-6605 |
| Cielita K Halyard | Nurse Practitioner | Palmetto Primary Care Physicians | 119 Springhall Dr, Goose Creek, SC 29445-5368 |
| Reid D Castellone | Family Medicine | Palmetto Primary Care Physicians | 213 W 4th N St, Summerville, SC 29483-6541 |
| Allyson P Brown | Nurse Practitioner | Palmetto Primary Care Physicians | 1401 Main St, Bonneau, SC 29431-5013 |
| Street Address |
110 SPRINGHALL DR SUITE B |
| City | GOOSE CREEK |
| State | SC |
| Zip | 29445-5335 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhonda A Parker | Nurse Practitioner | 107 Etting Ave, Goose Creek, SC 29445 | |
| Karen King | Optometry | 216 F St James Ave, Goose Creek, SC 29445 | |
| Katherine James Kegel | Optometry | Coastal Vision Care LLC | 605 St James Ave, Goose Creek, SC 29445 |
| Erica Ryan Juras | Optometry | Coastal Vision Care LLC | 605 St James Ave, Goose Creek, SC 29445 |
| Wendy Lynn Corrigan | Optometry | Coastal Vision Care LLC | 605 St James Ave, Goose Creek, SC 29445 |
| Kelsey Alexandra Mutchler | Physical Therapy | Agilitas Usa Inc | 514 Saint James Ave, Unit G, Goose Creek, SC 29445-2767 |
| Harry Brown Dinwiddie Jr. | Physical Therapy | Agilitas Usa Inc | 514 Saint James Ave, Unit G, Goose Creek, SC 29445-2767 |
| Kevin Donald Smith | Physical Therapy | Agilitas Usa Inc | 514 Saint James Ave, Unit G, Goose Creek, SC 29445-2767 |
| Adam Jay Foster | Chiropractic | 514 Saint James Ave, Unit D, Goose Creek, SC 29445-2767 | |
| Stephen Aaron Purser | Family Medicine | Charleston Carenow Urgent Care LLC | 515 Saint James Ave, Goose Creek, SC 29445-2794 |
| Find all physicians in zip 29445 | |||
| City | GOOSE CREEK |
| Zip Code | 29445 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GOOSE CREEK + FAMILY MEDICINE |
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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.