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Contact Information

SOUTH CAROLINA ENT ALLERGY & SLEEP MEDICINE PA
15 EXCHANGE DR
LUGOFF, SC29078-9198
 Phone: 803-408-3277
 Fax: 803-408-3277
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Sleep Medicine

207YS0012X 04 Physician/Otolaryngology
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for SOUTH CAROLINA ENT ALLERGY SLEEP MEDICINE PA · (Female)

NPI Number 1134153083
Status Active
Credentials
Entity Individual
Enumeration date 07/10/2006
Last updated 05/26/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid GP4316
  • SC Other DE5192 UNSPECIFIED
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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