Walter Robert Main (NPI# 1780690289, PAC ID# 6800927021) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1780690289 |
PAC ID by PECOS | 6800927021 |
Professional Enrollment ID | I20151111000079 |
Full Name | Walter Robert Main |
Address |
400 Market St Cheraw SC 29520-2637 |
Gender | M |
Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
Graduation Year | 1993 |
Primary Specialty | CHIROPRACTIC |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
420107 | MCLEOD HEALTH CHERAW |
Address | Phone | Organization |
---|---|---|
400 Market St, Cheraw, SC 29520-2637 |
Street Address |
400 MARKET ST |
City | CHERAW |
State | SC |
Zip | 29520-2637 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alfe A Masecampo | Psychiatry | South Jersey Behavioral Health Resources Incorporated | 400 Market St, Camden, NJ 08102-1526 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alison Carisa Huggins | Nurse Practitioner | Palmetto Family Medicine of Chesterfield County, LLC | 316 2nd St, Cheraw, SC 29520-2404 |
Travis A Novinger | Family Medicine | Palmetto Family Medicine of Chesterfield County, LLC | 316 2nd St, Cheraw, SC 29520-2404 |
Kinzie J Barton | Family Medicine | Palmetto Family Medicine of Chesterfield County, LLC | 316 2nd St, Cheraw, SC 29520-2404 |
Paseo Shatelle Douglas | Nurse Practitioner | Palmetto Family Medicine of Chesterfield County, LLC | 316 2nd St, Cheraw, SC 29520-2404 |
Karen Lynn Rice Canipe | Nurse Practitioner | Palmetto Family Medicine of Chesterfield County, LLC | 316 2nd St, Cheraw, SC 29520-2404 |
Narry H Beaver | Chiropractic | Beaver Chiropractic Center | 401 Market St, Cheraw, SC 29520-2636 |
Kay Bullard | Optometry | Covington Optometric Eye Clinic | 703 Market St, Cheraw, SC 29520-2658 |
Marvin Sto-domingo | Physical Therapy | 309 Chesterfield Hwy, Suite 1, Cheraw, SC 29520-3052 | |
Pravin R Patel | Family Medicine | 840 Manor Rd, Cheraw, SC 29520-4035 | |
Thomas Vincent Distefano | Orthopedic Surgery | Mcleod Physician Associates II | 710 Chesterfield Hwy, Cheraw, SC 29520-7001 |
Find all physicians in zip 29520 |
City | CHERAW |
Zip Code | 29520 |
Specialty | CHIROPRACTIC |
City + Specialty | CHERAW + CHIROPRACTIC |
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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.