REAL HEALTH CLINIC (NPI# 1609270743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609270743 |
Entity Type | Organization |
Organization Name | REAL HEALTH CLINIC |
Practice Address |
101 Springhall Dr Goose Creek SC 29445-5336 |
Mailing Address |
101 Springhall Drive Goose Creek SC 29445 |
Practice Telephone | 8433020920 |
Mailing Telephone | 8433020920 |
Enumeration Date | 2014-10-17 |
Last Update Date | 2014-10-17 |
Authorized Official Name | TONI MANOS (M.D.) |
Authorized Official Telephone | 8433020920 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
1801218196 | SC | Ambulatory Health Care Facilities |
Street Address |
101 SPRINGHALL DR |
City | GOOSE CREEK |
State | SC |
Zip Code | 29445-5336 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003922774 | Renee Lynn Hunter | Chiropractor | 101 Springhall Dr, Goose Creek, SC 29445-5336 | 2006-08-22 |
1801218169 | Real Health Clinic LLC | General Practice | 101 Springhall Dr, Goose Creek, SC 29445-5336 | 2014-01-06 |
1023444767 | Mary Ryan Crittenden | Nurse Practitioner | 101 Springhall Dr, Goose Creek, SC 29445-5336 | 2013-09-25 |
1316275068 | Wendy Schmunk | Clinical Nurse Specialist | 101 Springhall Dr, Goose Creek, SC 29445-5336 | 2009-11-18 |
1215123575 | Kirsten M Hanley | Nurse Practitioner | 101 Springhall Dr, Goose Creek, SC 29445-5336 | 2007-09-20 |
1164531349 | Lowcountry Pediatrics | Specialist | 101 Springhall Dr, Goose Creek, SC 29445-5336 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790309953 | Auriel Mcconnell | Home Health | 616 One Mans Court, Mount Pleasant, SC 29445 | 2020-06-03 |
1215594023 | Tanova Cornise Robinson | Counselor | 96 Wisteria Road, Goose Creek, SC 29445 | 2019-05-28 |
1417421777 | Debra Liana Kerness | Social Worker | 100-a Central Avenue, Suite 203, Goose Creek, SC 29445 | 2019-01-18 |
1043663503 | Aimee Nehiley | Dentist | 615 Saint James Ave, Goose Creek, SC 29445 | 2016-07-20 |
1881057032 | Eddie Emanuel Nance | Family Medicine | 110 Naval Nuclear Power Training Command Cir, Goose Creek, SC 29445 | 2016-04-04 |
1295195188 | Dental Professionals of South Carolina, PC | Dentist | 615 St. James Ave, Goose Creek, SC 29445 | 2016-03-04 |
1144603622 | Laryssa Smith | Pharmacist | 215 St. James Ave, Goose Creek, SC 29445 | 2015-07-02 |
1730439126 | O'stacia Williamson | Pharmacist | 1316 Redbank Rd, 9, Goose Creek, SC 29445 | 2012-09-13 |
1164771275 | Mary Ashley Watts | Pharmacist | 431 B St James Ave Suite I, Goose Creek, SC 29445 | 2012-09-05 |
1598048860 | Brianne Michele Terry | Pharmacist | 142 East Saint James Ave, Goose Creek, SC 29445 | 2011-09-23 |
Find all providers in zip 29445 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114551926 | Nocd North Carolina PC | Clinic/Center | 374 Lakewind Dr, Moncks Corner, SC 29461-7448 | 2020-03-02 |
1316419484 | Open Arms Counseling Center | Clinic/Center | 123 Erinvine Ct, Darlington, SC 29532-4203 | 2018-12-29 |
1750851085 | Jacobus Orthopedics and Interventional Pain Management LLC | Clinic/Center | 118 Clair Dr, Piedmont, SC 29673-7771 | 2018-11-29 |
1629556477 | Healthworks Med Group of South Carolina P C | Clinic/Center | 701 Chesterfield Hwy, Cheraw, SC 29520-7002 | 2018-08-03 |
1780177576 | Denmark-olar Elementary School | Clinic/Center | 1459 Solomon Blatt Blvd, Denmark, SC 29042 | 2018-06-07 |
1841782802 | Denmark-olar High School | Clinic/Center | 197 Viking Cir, Denmark, SC 29042 | 2018-06-05 |
1760974828 | Sandy Run K-8 School | Clinic/Center | 450 Old Swamp Rd, Swansea, SC 29160 | 2018-06-05 |
1881185999 | St. Matthews K-8 School | Clinic/Center | 132 Saints Avenue, St .matthews, SC 29135 | 2018-05-24 |
1598256711 | Calhoun County High School | Clinic/Center | 150 Saints Ave, St Matthews, SC 29135-9005 | 2018-05-23 |
1962908558 | Vitality Health Network LLC | Clinic/Center | 3100 Dick Pond Rd Unit E, Myrtle Beach, SC 29588-7286 | 2018-04-03 |
Find all providers with the same taxonomy |
City | GOOSE CREEK |
Zip Code | 29445 |
Please comment or provide details below to improve the information on REAL HEALTH CLINIC.
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.