Amber D Willis (NPI# 1649443607, PAC ID# 9537247010) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1649443607 |
| PAC ID by PECOS | 9537247010 |
| Professional Enrollment ID | I20170228001721 |
| Full Name | Amber D Willis |
| Organization Legal Name | ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC |
| Address |
10 E Hospital St Manning SC 29102-3153 |
| Phone Number | 8034333000 |
| Gender | F |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5193620714 |
| Number of Group Practice Members | 172 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420109 | MCLEOD HEALTH CLARENDON |
| Address | Phone | Organization |
|---|---|---|
| 10 E Hospital St, Manning, SC 29102-3153 | 8034333000 | ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC |
| Organization Legal Name | ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC |
| Physicians | 136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Enrique Pena | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 806 Hwy 17 S, North Myrtle Beach, SC 29582-3429 |
| Carey Christiansen Ford | Family Medicine | Acs Primary Care Physicians - Southeast PC | 1000 Medical Ctr Dr, Hardeeville, SC 29927-3446 |
| Peter K Brady | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 349 Tidewatch Dr, Bluffton, SC 29910-9321 |
| Melissa Rosado | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Arash Albekord | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 10 E Hospital St, Manning, SC 29102-3153 |
| Angela Penix | Nurse Practitioner | Acs Primary Care Physicians - Southeast PC | 350 Hospital Dr, Macon, GA 31217-3838 |
| Bettie S Stem | Nurse Practitioner | Acs Primary Care Physicians - Southeast PC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Tiffany D Jackson | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 222 S Herlong Ave, Rock Hill, SC 29732-1158 |
| Kenneth L Grotz | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 3651 Wheeler Rd, Augusta, GA 30909-6521 |
| Reda Saadal Hallaba | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Street Address |
10 E HOSPITAL ST |
| City | MANNING |
| State | SC |
| Zip | 29102-3153 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher C Cornor | Certified Registered Nurse Anesthetist (crna) | Mcleod Health Clarendon | 10 E Hospital St, Manning, SC 29102-3153 |
| Arash Albekord | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 10 E Hospital St, Manning, SC 29102-3153 |
| Nicole R Ours | Family Medicine | Mcleod Health Clarendon | 10 E Hospital St, Manning, SC 29102-3153 |
| Tracy F Ganes | Certified Registered Nurse Anesthetist (crna) | Mcleod Health Clarendon | 10 E Hospital St, Manning, SC 29102-3153 |
| Alyson E Eastep | Certified Registered Nurse Anesthetist (crna) | Mcleod Health Clarendon | 10 E Hospital St, Manning, SC 29102-3153 |
| Peter Walter Schindler | Certified Registered Nurse Anesthetist (crna) | Mcleod Health Clarendon | 10 E Hospital St, Manning, SC 29102-3153 |
| Thomas L Stoughton | Cardiovascular Disease (cardiology) | Mcleod Physician Associates II | 10 E Hospital St, Manning, SC 29102-3153 |
| Australia V Greene | Nurse Practitioner | South Carolina Em-i Medical Services PC | 10 E Hospital St, Manning, SC 29102-3153 |
| William C Aldrich | Family Medicine | Mcleod Health Clarendon | 10 E Hospital St, Manning, SC 29102-3153 |
| Tammy G Huckabee | Nurse Practitioner | South Carolina Em-i Medical Services PC | 10 E Hospital St, Manning, SC 29102-3153 |
| Find all physicians in the same address | |||
| 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 |
| David C Isbell | Cardiovascular Disease (cardiology) | Columbia Heart Clinic Pa | 1017 Professional Ct, Manning, SC 29102-2827 |
| Edward J Meyers | General Practice | Colonial Family Practice LLC | 1013 Professional Ct, Suite A, 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 |
| David R Trigg | Family Medicine | 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 | FAMILY MEDICINE |
| City + Specialty | MANNING + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Amber D Willis.
| 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.