Addison, Geneva

Addison, Geneva is an individual health care provider with primary practice located at 201 Cashua St , Darlington SC 29532-3301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Addison, Geneva can be contacted via phone (843) 393-7452.

Contact Information

Primary practice address
201 Cashua St Darlington SC 29532-3301
Phone: (843) 393-7452
Fax: (843) 393-6210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26077 South Carolina

Profile Details

NPI number 1649914680
LBN Legal business name Addison, Geneva
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2022
Last updated May 7th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649914680 NPPES
South Carolina MEDICAID NP8555

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