Stacy H Graham (NPI# 1912093501, PAC ID# 4385744226) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1912093501 |
| PAC ID by PECOS | 4385744226 |
| Professional Enrollment ID | I20100812000077 |
| Full Name | Stacy H Graham |
| Organization Legal Name | COLUMBIA HEART CLINIC PA |
| Address |
1017 Professional Ct Manning SC 29102-2827 |
| Phone Number | 8032566511 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE |
| Group Practice PAC ID | 3274439575 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420018 | PALMETTO HEALTH RICHLAND |
| 420019 | CHESTER REGIONAL MEDICAL CENTER |
| 420048 | KERSHAWHEALTH |
| 420053 | NEWBERRY COUNTY MEMORIAL HOSPITAL |
| 420070 | TUOMEY HEALTHCARE SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1645 J A Cochran Byp, Suite Dandh, Chester, SC 29706-2105 | 8032566511 | PALMETTO HEALTH-UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP |
| 3301 Harden St Ext, 5 Medical Park, Columbia, SC 29203-6813 | 8032962548 | PRISMA HEALTH MIDLANDS |
| 8 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-8008 | 8032566511 | COLUMBIA HEART CLINIC PA |
| 8 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-8008 | 8032566511 | PALMETTO HEALTH-UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP |
| 1017 Professional Ct, Manning, SC 29102-2827 | 8032566511 | COLUMBIA HEART CLINIC PA |
| 2669 Kinard St, Newberry, SC 29108-2911 | 8032566511 | COLUMBIA HEART CLINIC PA |
| Organization Legal Name | COLUMBIA HEART CLINIC PA |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David C Isbell | Cardiovascular Disease (cardiology) | Columbia Heart Clinic Pa | 1017 Professional Ct, Manning, SC 29102-2827 |
| Lauren S Holliday | Cardiovascular Disease (cardiology) | Columbia Heart Clinic Pa | 2669 Kinard St, Newberry, SC 29108-2911 |
| Walter R Mazzei Jr. | Cardiac Electrophysiology | Columbia Heart Clinic Pa | 1017 Professional Ct, Manning, SC 29102-2827 |
| Marion Timothy Wells | Interventional Cardiology | Columbia Heart Clinic Pa | 1017 Professional Ct, Manning, SC 29102-2827 |
| Milton Donald Alexander Jr. | Cardiovascular Disease (cardiology) | Columbia Heart Clinic Pa | 8 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-8008 |
| William J Hollins Ii | Interventional Cardiology | Columbia Heart Clinic Pa | 8 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-8008 |
| Susan G Benesh | Nurse Practitioner | Columbia Heart Clinic Pa | 8 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-8008 |
| James Ryan Altman | Interventional Cardiology | Columbia Heart Clinic Pa | 8 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-8008 |
| Robert Emery Delphia | Interventional Cardiology | Columbia Heart Clinic Pa | 8 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-8008 |
| Ryan Edward Wilson | Interventional Cardiology | Columbia Heart Clinic Pa | 8 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-8008 |
| Street Address |
1017 PROFESSIONAL CT |
| City | MANNING |
| State | SC |
| Zip | 29102-2827 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David C Isbell | Cardiovascular Disease (cardiology) | Columbia Heart Clinic Pa | 1017 Professional Ct, Manning, SC 29102-2827 |
| Walter R Mazzei Jr. | Cardiac Electrophysiology | Columbia Heart Clinic Pa | 1017 Professional Ct, Manning, SC 29102-2827 |
| Kimberly A Kirton | Nurse Practitioner | Palmetto Health-university of South Carolina Medical Group | 1017 Professional Ct, Manning, SC 29102-2827 |
| Marion Timothy Wells | Interventional Cardiology | Columbia Heart Clinic Pa | 1017 Professional Ct, Manning, SC 29102-2827 |
| Leverne M Prosser | Interventional Cardiology | Columbia Heart Clinic Pa | 1017 Professional Ct, Manning, SC 29102-2827 |
| Benjamin R Jones | Interventional Cardiology | Columbia Heart Clinic Pa | 1017 Professional Ct, Manning, SC 29102-2827 |
| Janice Butler Ryckeley | Nurse Practitioner | Columbia Heart Clinic Pa | 1017 Professional Ct, Manning, SC 29102-2827 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent D Carraway | Chiropractic | Physicians Health and Injury Clinic | 608 S Mill St, Manning, SC 29102-2807 |
| Duangmani Friday | Chiropractic | Physicians Health and Injury Clinic | 608 S Mill St, Manning, SC 29102-2807 |
| Lillian G Stukes Douglas | Nurse Practitioner | Colonial Family Practice LLC | 1036 Professional Ct, Manning, SC 29102-2827 |
| Gina G Wilson | Nurse Practitioner | Colonial Family Practice LLC | 1013 Professional Ct, Suite C, Manning, SC 29102-2827 |
| Edward J Meyers | General Practice | Colonial Family Practice LLC | 1013 Professional Ct, Suite A, Manning, SC 29102-2827 |
| David R Trigg | Family Medicine | Colonial Family Practice LLC | 1013 Professional Ct, Suite A, Manning, SC 29102-2827 |
| Julie B Miles | Nurse Practitioner | Colonial Family Practice LLC | 1013 Professional Ct, Suite A, Manning, SC 29102-2827 |
| Amber Perkins Newman | Nurse Practitioner | Colonial Family Practice LLC | 1013 Professional Ct, Manning, SC 29102-2827 |
| Abigail S Ham | Physician Assistant | Colonial Family Practice LLC | 1013 Professional Ct, Manning, SC 29102-2827 |
| Grace Wielicki Couch | Nurse Practitioner | Colonial Family Practice LLC | 1013 Professional Ct, Suite A, Manning, SC 29102-2827 |
| Find all physicians in zip 29102 | |||
| City | MANNING |
| Zip Code | 29102 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | MANNING + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Stacy H Graham.
| 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.