Charles J Cohn Jr. (NPI# 1649249103, PAC ID# 0840281465) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1649249103 |
| PAC ID by PECOS | 0840281465 |
| Professional Enrollment ID | I20110608000527 |
| Full Name | Charles J Cohn Jr. |
| Organization Legal Name | WACCAMAW KIDNEY AND HYPERTENSION SPECIALISTS,P.A. |
| Address |
1052 A Huger Dr Georgetown SC 29440-3322 |
| Phone Number | 8435460223 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1985 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 8426049040 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420020 | TIDELANDS HEALTH |
| 420098 | TIDELANDS WACCAMAW COMMUNITY HOSPITAL |
| 420085 | GRAND STRAND REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1052 A Huger Dr, Georgetown, SC 29440-3322 | 8435460223 | WACCAMAW KIDNEY AND HYPERTENSION SPECIALISTS,P.A. |
| Organization Legal Name | WACCAMAW KIDNEY AND HYPERTENSION SPECIALISTS,P.A. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jon W Mares | Internal Medicine | Waccamaw Kidney and Hypertension Specialists,p.a. | 827 Church St, Georgetown, SC 29440-3501 |
| David A Rosnack | Nephrology | Waccamaw Kidney and Hypertension Specialists,p.a. | 827 Church St, Georgetown, SC 29440-3501 |
| Sean Murphy | Internal Medicine | Waccamaw Kidney and Hypertension Specialists,p.a. | 827 Church St, Georgetown, SC 29440-3501 |
| Street Address |
1052 A HUGER DR |
| City | GEORGETOWN |
| State | SC |
| Zip | 29440-3322 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanne M Blakeley | Nurse Practitioner | Patricia R. Grant, Md Pa | 219 Church St, Georgetown, SC 29440-2403 |
| Patricia R Grant | Interventional Pain Management | Patricia R. Grant, Md Pa | 219 Church St, Georgetown, SC 29440-2403 |
| Barbara Lynn Horn-weisgerber | Optometry | Indigo Vision Center Pa | 302 Church St, Georgetown, SC 29440-2406 |
| Owen Cannon Johnson | Optometry | Indigo Vision Center Pa | 302 Church St, Georgetown, SC 29440-2406 |
| Kaleigh Elizabeth Hudak | Physician Assistant | Georgetown Physician Associates LLC | 469 Marina Dr, Georgetown, SC 29440-2410 |
| Terry L Fry | Otolaryngology | 401 Marina Dr, Georgetown, SC 29440-2410 | |
| Alfred J Daniels | Family Medicine | St. James-santee Family Health Center Inc. | 2020 Highmarket St, Georgetown, SC 29440-2618 |
| Robert Jason Heineck | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Ashley Marie Miller | Nurse Practitioner | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Xaviera M Carter | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Find all physicians in zip 29440 | |||
| City | GEORGETOWN |
| Zip Code | 29440 |
| Specialty | NEPHROLOGY |
| City + Specialty | GEORGETOWN + NEPHROLOGY |
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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.