Physician Compare National (NPI:1093792426)

HEALTHCARE PROVIDER: NANCY M. NETTER M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1093792426
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8022161561
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090731000456
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NETTER
	Individual professional last name
Provider First Name	NANCY
	Individual professional first name
Provider Middle Name	MANN
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9 BUENA VISTA WAY
	Group Practice or individual's line 1 address
City	GREENVILLE
	Group Practice or individual's city
State	SC
	Group Practice or individual's state
Zip Code	296156621
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	420023
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST FRANCIS-DOWNTOWN
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	420102
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GHS PATEWOOD MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	420078
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	GHS GREENVILLE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y