DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ERIC E SHOUP PA-C

MEDICARE:   ERIC E SHOUP  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant744SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073576781
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC E SHOUP PA-C
Provider Business Mailing Address
First Line : PO BOX 743904
Second Line :
City : ATLANTA
State : GA
Zip : 30374-3904
Country : US
Telephone Number : 803-296-7320
Fax Number : 803-296-7330
Provider Business Practice Location Address
First Line : 8 RICHLAND MEDICAL PARK DR STE 100
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-8006
Country : US
Telephone Number : 803-434-3800
Fax Number : 803-744-2759
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2006
Last Update Date : 06/25/2021

Similar Medicare Providers

1518564897 — ERICA ODOM MCCUMBERS FNP
Practice Location Address:
8 RICHLAND MEDICAL PARK DR STE 100
COLUMBIA, SC
29203-8006
Practice Phone: 803-434-3800
Practice Fax: 803-744-2759
1962404780 — PHYLLIS H WILLIAMSON A.C.N.P.
Practice Location Address:
8 RICHLAND MEDICAL PARK DR STE 100
COLUMBIA, SC
29203-8006
Practice Phone: 803-434-3800
Practice Fax:
1417995259 — DR. SULTAN MAHMUD SIDDIQUE M.D.
Practice Location Address:
8 RICHLAND MEDICAL PARK DR STE 100
COLUMBIA, SC
29203-8006
Practice Phone: 803-434-3800
Practice Fax: 803-744-2759
1679519144 — PALMETTO HEALTH
Practice Location Address:
8 RICHLAND MEDICAL PARK , SUITE 400
COLUMBIA, SC
29203-8006
Practice Phone: 803-765-0871
Practice Fax: 803-765-9215
1205872850 — DR. PATRICK A HALL MD
Practice Location Address:
8 RICHLAND MEDICAL PARK DR STE 100
COLUMBIA, SC
29203-8006
Practice Phone: 803-434-3800
Practice Fax:
1205920709 — GUILLERMO ENRIQUE PINEDA M.D.
Practice Location Address:
8 RICHLAND MEDICAL PARK DR STE 100
COLUMBIA, SC
29203-8006
Practice Phone: 803-434-3800
Practice Fax:

Directions to “ ERIC E SHOUP PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.