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Contact Information

SOVEREIGN MEDICAL CONSULTING LLC
15 VILLA RD, APT #182
GREENVILLE, SC29615
 Phone: 864-451-4250
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Point of Service

305S00000X
 

Pharmacotherapy

1835P1200X
Indicates primary specialty

NPI Profile & details for SOVEREIGN MEDICAL CONSULTING LLC

NPI Number 1831696251
LBN Legal business name SOVEREIGN MEDICAL CONSULTING LLC
Authorized official EDWARD GRACE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/11/2018
Last updated 04/11/2018 - About 8 years ago
Identifiers
DC License # 308009535
SC License # 101491182
SC Other 101491182 SC DEPARTMENT OF REVENUE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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