William Carrington Jackson (NPI# 1104237338, PAC ID# 2567758436) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
Nation Provider ID (NPI) | 1104237338 |
PAC ID by PECOS | 2567758436 |
Professional Enrollment ID | I20190828003142 |
Full Name | William Carrington Jackson |
Organization Legal Name | MCLEOD PHYSICIAN ASSOCIATES II |
Address |
101 S Ravenel St Suite 230 Florence SC 29506-2624 |
Phone Number | 8437773850 |
Gender | M |
Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
Graduation Year | 2014 |
Primary Specialty | VASCULAR SURGERY |
Group Practice PAC ID | 8224031307 |
Number of Group Practice Members | 264 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
420051 | MCLEOD REGIONAL MEDICAL CENTER-PEE DEE |
Address | Phone | Organization |
---|---|---|
101 S Ravenel St, Suite 230, Florence, SC 29506-2624 | 8437773850 | MCLEOD PHYSICIAN ASSOCIATES II |
Organization Legal Name | MCLEOD PHYSICIAN ASSOCIATES II |
Physicians | 268 |
Name | Specialty | Organization | Address |
---|---|---|---|
Zachary Jeffrey Dipaolo | Orthopedic Surgery | Mcleod Physician Associates II | 1005 E Cheves St, Florence, SC 29506-2707 |
Ryan Britton Nance | Obstetrics/gynecology | Mcleod Physician Associates II | 101 William H Johnson St, Suite 500, Florence, SC 29506-2769 |
Vasiliki Papathanasiou | Family Medicine | Mcleod Physician Associates II | 101 Mcleod Health Blvd, Suite 201, Myrtle Beach, SC 29579-4477 |
Lacie E Edmison | Gastroenterology | Mcleod Physician Associates II | 3980 Hwy 9 E, Suite 300, Little River, SC 29566-8165 |
Todd Derrick Frazier | Family Medicine | Mcleod Physician Associates II | 3015 W Palmetto St, Florence, SC 29501-5935 |
Nicole M Rice | Family Medicine | Mcleod Physician Associates II | 690 Sunset N Blvd, Suite 109, Sunset Beach, NC 28468-5610 |
Olinda P Spencer | Neurology | Mcleod Physician Associates II | 907 Startek Dr, Myrtle Beach, SC 29579-4471 |
Marc J Comianos | Internal Medicine | Mcleod Physician Associates II | 3418 Casey St, Loris, SC 29569-2904 |
Aileen E Wawrzaszek | Physician Assistant | Mcleod Physician Associates II | 800 E Cheves St, Florence, SC 29506-2650 |
John Carpenter | Physician Assistant | Mcleod Physician Associates II | 20 E Hospital St, Suite 2, Manning, SC 29102-3149 |
Street Address |
101 S RAVENEL ST SUITE 230 |
City | FLORENCE |
State | SC |
Zip | 29506-2624 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mhd A Alsaka | Nephrology | Mcleod Physician Associates II | 101 S Ravenel St, Suite 120, Florence, SC 29506-2619 |
Hany S Shenouda | Endocrinology | Mcleod Physician Associates II | 101 S Ravenel St, Suite 120, Florence, SC 29506-2619 |
Stephen E Osaguona | Nephrology | Mcleod Physician Associates II | 101 S Ravenel St, Suite 120, Florence, SC 29506-2619 |
Dierdre T Young | Internal Medicine | Mcleod Physician Associates II | 101 S Ravenel St, Suite 120, Florence, SC 29506-2619 |
Tasha L Ralley | Nurse Practitioner | Mcleod Physician Associates II | 101 S Ravenel St, Suite 120, Florence, SC 29506-2619 |
Nathan Js Almeida | Cardiovascular Disease (cardiology) | Mcleod Physician Associates II | 101 S Ravenel St, Suite 120, Florence, SC 29506-2619 |
Francesca A Wilkins | Endocrinology | Mcleod Physician Associates II | 101 S Ravenel St, Suite 300, Florence, SC 29506-2621 |
John Edward Fassler | Nephrology | Mcleod Physician Associates II | 101 S Ravenel St, Suite 160, Florence, SC 29506-2622 |
Joslyn L Angus Jr. | Family Medicine | Mcleod Physician Associates II | 101 S Ravenel St, Suite 160, Florence, SC 29506-2622 |
Subash Regmi | Nephrology | Mcleod Physician Associates II | 101 S Ravenel St, Suite 120, Florence, SC 29506-2619 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
James P Mazgaj | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 125 E Cheves St, Florence, SC 29506-2526 |
Nwada O Nwankudu | Nurse Practitioner | South Carolina Dept of Mental Health | 125 E Cheves St, Florence, SC 29506-2526 |
Donna C Orvin | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 125 E Cheves St, Florence, SC 29506-2526 |
Joe Asa Griffin Iii | Plastic and Reconstructive Surgery | 513 S Dargan St, Florence, SC 29506-2549 | |
John P Booth | Family Medicine | 523 S Dargan St, Florence, SC 29506-2553 | |
Emmanuel Otu Quaye | Internal Medicine | 619 S Dargan St, Florence, SC 29506-2555 | |
Anthony Wayne Alexander | Pain Management | 619 S Dargan St, Florence, SC 29506-2555 | |
Almeda Graham | Nurse Practitioner | Magnolia Healthcare | 619 S Dargan St, Florence, SC 29506-2555 |
Richard Hayes | Internal Medicine | Hospital Physician Services - Southeast Professional Corporation | 121 E Cedar St, Florence, SC 29506-2576 |
Venugopal S Govindappa | Internal Medicine | 121 E Cedar St, Florence, SC 29506-2576 | |
Find all physicians in zip 29506 |
City | FLORENCE |
Zip Code | 29506 |
Specialty | VASCULAR SURGERY |
City + Specialty | FLORENCE + VASCULAR SURGERY |
Please comment or provide details below to improve the information on William Carrington Jackson.
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.