My House Call Doctor, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MY HOUSE CALL DOCTOR, LLC

Practice address

650 Pamplico Hwy Ste C
Florence, SC 29505-6079

Phone

(843) 799-1256

NPI assigned

Nov 12, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Hayes

Title

Credentialing

Phone

(843) 292-0600

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1497223101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 WHIRLAWAY AVE",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295058748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 PAMPLICO HWY STE C",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056079",
            "telephone_number": "843-799-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HOUSE CALL DOCTOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "843-292-0600"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Musc Community Physicians
• Musc Community Physicians
• Musc Community Physicians (MUSC Community Physicians Anesthesiology)
• Mahnoor Mushtaq
• Abbey Elizabeth Muzio, COTA
• Mitzi Nyrita Myers, RN
• Earl Myrick, PTA
• Swarna Sri Nalluru, MD
• Clyde Carson Nance, MS
• Kimberly Ruth Nance

• Internal Medicine Physician in Florence, SC
• Providers in Florence, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.