Costa-Stephenson, Graziella

Costa-Stephenson, Graziella is an individual health care provider with primary practice located at 4724 Charlotte Hwy , Clover SC 29710-8095. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Costa-Stephenson, Graziella can be contacted via phone (803) 831-1911.

Contact Information

Primary practice address
4724 Charlotte Hwy Clover SC 29710-8095
Phone: (803) 831-1911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 21840 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5010366 North Carolina

Profile Details

NPI number 1548765563
LBN Legal business name Costa-Stephenson, Graziella
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2018
Last updated May 3rd, 2022 - about 4 years ago

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 1548765563 NPPES
North Carolina Other 5010366 NC LICENSE
North Carolina Other 21840 NC LICENSE

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