Jimaki Witherspoon Roach


Address: 1166 Camp Creek Rd, Lancaster, SC 29720-8558

Jimaki Witherspoon Roach (NPI# 1316196363, PAC ID# 8224285457) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

Nation Provider ID (NPI) 1316196363
PAC ID by PECOS 8224285457
Professional Enrollment ID I20180123003019
Full Name Jimaki Witherspoon Roach
Address 1166 Camp Creek Rd
Lancaster
SC 29720-8558
Gender F
Medical School MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year 2002
Primary Specialty PHYSICAL THERAPY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1166 Camp Creek Rd, Lancaster, SC 29720-8558

Organization Information

Office Location

Street Address 1166 CAMP CREEK RD
City LANCASTER
State SC
Zip 29720-8558

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Lisa Semple Obstetrics/gynecology Carolina Family Care Inc 834 W Main St, Suite E, Lancaster, SC 29720
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Maritza Manrique-kiniry Obstetrics/gynecology Carolina Family Care Inc 834 W Main St, Suite E, Lancaster, SC 29720
Erin Macsene Johnson Clinical Social Worker 1499 Lynwood Dr, Suite B, Lancaster, SC 29720-0964
Shukairo Townsend Clinical Social Worker Kmy International, LLC 1499 Lynwood Dr, Suite B, Lancaster, SC 29720-0964
Constantine Nicholas Canoutas Podiatry Instride Foot and Ankle Specialists, Pllc 1190 Hwy 9 Byp W, Lancaster, SC 29720-1709
Amrendra Kumar Family Medicine 1130 Hwy 9 W Byp, Lancaster, SC 29720-1709
William C Myers Podiatry Instride Foot and Ankle Specialists, Pllc 1190 Hwy 9 Byp W, Lancaster, SC 29720-1709
Sarah M Fitzgerald Podiatry Instride Foot and Ankle Specialists, Pllc 1190 Hwy 9 Byp W, Lancaster, SC 29720-1709
Brandon S Percival Podiatry Instride Foot and Ankle Specialists, Pllc 1190 Hwy 9 Byp W, Lancaster, SC 29720-1709
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Competitor

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City LANCASTER
Zip Code 29720
Specialty PHYSICAL THERAPY
City + Specialty LANCASTER + PHYSICAL THERAPY

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Dataset Information

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.

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