Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X | |||
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1134740152 |
||||
| LBN Legal business name | SOUTH COAST HEALTHCARE LLC | ||||
| DBA Doing business as | SOUTH COAST HEALTHCARE | ||||
| Authorized official | SARA DICKERSON - (FAMILY NURSE PRACTITIONER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/30/2020 | ||||
| Last updated | 10/27/2020 - About 6 years ago | ||||
| Identifiers |
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SOUTH COAST HEALTHCARE
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SOUTH COAST HEALTHCARE