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Contact Information

ENT AND FACE
197 S HERLONG AVE
ROCK HILL, SC29732-3427
 Phone: 803-366-9000
 Fax: 803-366-9200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for ENT AND FACE · (Female)

NPI # 1801956552
Status Active
Credentials
Entity Individual
Enumeration date 12/11/2006
Last updated 02/07/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 15101
  • SC Medicaid 151016
  • Other 1669473237 NPI# INDIVIDUAL PROVIDER
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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