Daughtry, Patricia
Daughtry, Patricia is an individual health care provider with primary practice located at 1776 William Kennerty Drive West Ashley Middle School, Charleston SC 29407. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Daughtry, Patricia can be contacted via phone (843) 852-6536.Contact Information
Primary practice address
1776 William Kennerty Drive West Ashley Middle School
Charleston SC 29407
Phone: (843) 852-6536
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | South Carolina |
Profile Details
| NPI number | 1306280078 |
|---|---|
| LBN Legal business name | Daughtry, Patricia |
| Credentials | ED. S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2013 |
| Last updated | Apr 24th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306280078 | NPPES |
| South Carolina | MEDICAID | 1588615918 |
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