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Contact Information

STACEY ROTHWELL, PA-C
171 ASHLEY AVE
CHARLESTON, SC29425-8908
 Phone: 843-792-1414
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for STACEY ROTHWELL · (Female)

NPI # 1912982844
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/14/2005
Last updated 10/20/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • SC License # A881
  • SC Medicaid 01273PA
Hospital affiliation(s)
  • BEAUFORT COUNTY MEMORIAL HOSPITAL - (Acute Care)
    955 RIBAUT RD
    BEAUFORT, SC 29902
  • MUSC MEDICAL CENTER - (Acute Care)
    169 ASHLEY AVE
    CHARLESTON, SC 29425
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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