Charlie Wofford (NPI# 1609031400, PAC ID# 8628247731) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1609031400 |
| PAC ID by PECOS | 8628247731 |
| Professional Enrollment ID | I20110805000795 |
| Full Name | Charlie Wofford |
| Organization Legal Name | EAU CLAIRE COOPERATIVE HEALTH CENTER, INC |
| Address |
3041 Old Eastover Rd Eastover SC 29044-2417 |
| Phone Number | 8033538741 |
| Gender | F |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3274434220 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420018 | PALMETTO HEALTH RICHLAND |
| 420086 | PALMETTO HEALTH BAPTIST |
| Address | Phone | Organization |
|---|---|---|
| 1228 Harden St, Columbia, SC 29204-1800 | EAU CLAIRE COOPERATIVE HEALTH CENTER, INC | |
| 3800 N Main, Suite C, Columbia, SC 29203 | 8037335969 | EAU CLAIRE COOPERATIVE HEALTH CENTER, INC |
| 3800 N Main St, Suite B, Columbia, SC 29203-6446 | 8037053172 | EAU CLAIRE COOPERATIVE HEALTH CENTER, INC |
| 4206 N Main St, Columbia, SC 29203-5864 | 8037868307 | EAU CLAIRE COOPERATIVE HEALTH CENTER, INC |
| 4605 Monticello Rd, Columbia, SC 29203-4156 | EAU CLAIRE COOPERATIVE HEALTH CENTER, INC | |
| 4605 Monticello Rd B, Columbia, SC 29203-4156 | 8037140266 | EAU CLAIRE COOPERATIVE HEALTH CENTER, INC |
| 4801 Monticello Rd, Columbia, SC 29203-4124 | 8037140266 | EAU CLAIRE COOPERATIVE HEALTH CENTER, INC |
| 6904 N Main St, Suite 100, Columbia, SC 29203-3852 | 8037358307 | EAU CLAIRE COOPERATIVE HEALTH CENTER, INC |
| 3041 Old Eastover Rd, Eastover, SC 29044-2417 | 8033538741 | EAU CLAIRE COOPERATIVE HEALTH CENTER, INC |
| 9017 State Hwy 215 S, Jenkinsville, SC 29065 | 8037335969 | EAU CLAIRE COOPERATIVE HEALTH CENTER, INC |
| Organization Legal Name | EAU CLAIRE COOPERATIVE HEALTH CENTER, INC |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keionda C Caldwell | Nurse Practitioner | Eau Claire Cooperative Health Center, Inc | 4605 Monticello Rd B, Columbia, SC 29203-4156 |
| Meredith Good | Nurse Practitioner | Eau Claire Cooperative Health Center, Inc | 9023 Garners Ferry Rd, Hopkins, SC 29061-9540 |
| Allison Stroughton Moore | Nurse Practitioner | Eau Claire Cooperative Health Center, Inc | 1228 Harden St, Suite B, Columbia, SC 29204-1800 |
| Lakia Singleton | Nurse Practitioner | Eau Claire Cooperative Health Center, Inc | 338 E Columbia Ave B, Leesville, SC 29070-9285 |
| Tabitha Jones Garner | Nurse Practitioner | Eau Claire Cooperative Health Center, Inc | 1115 State St, Cayce, SC 29033-4342 |
| Sharrell Tonya Odom | Nurse Practitioner | Eau Claire Cooperative Health Center, Inc | 755 Us Hwy 21 S, Ridgeway, SC 29130-6844 |
| Joseph P Grant Sr. | Emergency Medicine | Eau Claire Cooperative Health Center, Inc | 8063 Edmund Hwy, Pelion, SC 29123 |
| Trenten Aristotle Prioleau | Podiatry | Eau Claire Cooperative Health Center, Inc | 3800 N Main St, Suite B, Columbia, SC 29203-6446 |
| Ezra M Ash-malachi | Family Medicine | Eau Claire Cooperative Health Center, Inc | 9019 Garners Ferry Rd, Hopkins, SC 29061-9687 |
| Adelero Olayinka Adebajo | Internal Medicine | Eau Claire Cooperative Health Center, Inc | 1520 Laurel St, Columbia, SC 29201-2623 |
| Street Address |
3041 OLD EASTOVER RD |
| City | EASTOVER |
| State | SC |
| Zip | 29044-2417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tonia Wood | Nurse Practitioner | Eau Claire Cooperative Health Center, Inc | 3041 Old Eastover Rd, Eastover, SC 29044-2417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jody D Ellison | Family Practice | Eau Claire Cooperative Health Center, Inc | 120 Clarkson St, Eastover, SC 29044-8769 |
| City | EASTOVER |
| Zip Code | 29044 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EASTOVER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Charlie Wofford.
| 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.