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Contact Information

PAULA J DUBOSE
4415 GREEN BAY TRL
MYRTLE BEACH, SC29577-2651
 Phone: 586-322-4453
 Fax: 586-322-4453
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health & Wellness Coach

171400000X
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for PAULA J DUBOSE · (Female)

NPI # 1043164585
Status Active
Credentials
Entity Individual
Enumeration date 02/23/2026
Last updated 02/23/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • SC License # A-4206990
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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