ROBERT GLEN QUATTLEBAUM (NPI# 1083704175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083704175 |
| Entity Type | Individual |
| Full Name | ROBERT GLEN QUATTLEBAUM |
| Credential | M.D. |
| Practice Address |
386 College Ave Clemson SC 29631-1432 |
| Practice Telephone | 8646542067 |
| Practice Fax Number | 8646543261 |
| Mailing Telephone | 8646542067 |
| Mailing Fax Number | 8646543261 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2010-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 27937 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 279371 | 05 | |
| SC | RAILROAD MEDICARE ID | P00638301 | 01 |
| Street Address |
386 COLLEGE AVE |
| City | CLEMSON |
| State | SC |
| Zip Code | 29631-1432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225085699 | Theodore Swann | Family Medicine | 386 College Ave, Clemson, SC 29631-1475 | 2006-05-30 |
| 1568726495 | Jocelyn B Sikes | Nurse Practitioner | 386 College Ave, Clemson, SC 29631-1432 | 2012-06-26 |
| 1841483344 | Charles Kenneth Edsall I | Family Medicine | 386 College Ave, Clemson, SC 29631-1432 | 2007-08-20 |
| 1447473715 | Anmed Health Ob-gyn Associates | Obstetrics & Gynecology | 386 College Ave, Clemson, SC 29631-1432 | 2007-04-11 |
| 1346281912 | William Dukes Jr. | Family Medicine | 386 College Ave, Clemson, SC 29631 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059038 | James Ryan Small | Specialist/Technologist | 212 Vista Cir, Clemson, SC 29631 | 2019-12-09 |
| 1811559883 | Cheyenne Leigh Reynolds | Specialist/Technologist | 100 Reeves Way, Clemson, SC 29631 | 2019-07-01 |
| 1912474792 | Andrea Bagley Stokes | Physical Therapist | 500-1 Old Greenville Hwy # 1, Clemson, SC 29631 | 2018-10-30 |
| 1114426178 | Intouch Pharmacy LLC | Pharmacy | 105 Wall Street, Suite 10b, Clemson, SC 29631 | 2018-02-06 |
| 1881117695 | Community Pharmacy Group, Inc. | Pharmacy | 143 Thomas Green Blvd, Clemson, SC 29631 | 2017-07-24 |
| 1295286276 | James Matthew Mills | Occupational Therapist | 101 Chapman Rd, Clemson, SC 29631 | 2016-10-14 |
| 1558769141 | Virginia Bridges Gaulin | Counselor | 209 Pendleton Rd Ste C, Clemson, SC 29631 | 2014-12-12 |
| 1437580628 | Amanda Martin Eubanks | Speech-Language Pathologist | 101 Chapman Road Suite 202, Clemson, SC 29631 | 2013-12-12 |
| 1437408499 | Fort Hill Family Dentistry, Pa | Clinic/Center | 124 Strode Circle, Clemson, SC 29631 | 2012-09-06 |
| 1942511738 | Theresa S Ritter | Counselor | 386 College Avenue, Suite A, Clemson, SC 29631 | 2010-06-25 |
| Find all providers in zip 29631 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912102013 | Lesslie Pekarek | Family Medicine | 735 Mcmillan Rd., Clemson, SC 29634-4054 | 2007-06-19 |
| 1568588747 | Rose Marie Mcdonald | Family Medicine | 344054 Mcmillan Rd, Clemson University, Clemson, SC 29634-0001 | 2007-03-21 |
| 1265500417 | Ricardo C Hood | Family Medicine | 1011 Tiger Blvd, Suite 400, Clemson, SC 29631-2915 | 2006-12-04 |
| 1053426353 | F.m.a., P.a. | Family Medicine | 522 College Ave, Suite 1, Clemson, SC 29631-1443 | 2006-08-20 |
| 1225085699 | Theodore Swann | Family Medicine | 386 College Ave, Clemson, SC 29631-1475 | 2006-05-30 |
| 1033173562 | Edmond R Jordan | Family Medicine | 895 Tiger Blvd, Clemson, SC 29631-1480 | 2006-04-13 |
| 1528033081 | Aimee Christina Duffy | Family Medicine | 1011 Tiger Blvd Ste 300, Clemson, SC 29631-1497 | 2006-02-20 |
| 1720066053 | Shari M Tonks | Family Medicine | 735 Mcmillan Road, Clemson, SC 29634-9729 | 2006-01-06 |
| 1689023020 | Baptist Easley Hospital | Family Medicine | 101 Chapman Hill Rd, Ste. 201, Clemson, SC 29631-2194 | 2016-06-07 |
| 1528428299 | Sc-premier Wellness Care | Family Medicine | 400 Pendleton Rd, Clemson, SC 29631-2211 | 2016-02-24 |
| Find all providers in CLEMSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.