Davis, Stephanie Kirby

Davis, Stephanie Kirby is an individual health care provider with primary practice located at 1501 N Main St , Anderson SC 29621. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Davis, Stephanie Kirby can be contacted via phone (864) 716-0063.

Contact Information

Primary practice address
1501 N Main St Anderson SC 29621
Phone: (864) 716-0063
Fax: (864) 716-0073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 006116 Georgia

Profile Details

NPI number 1033402151
LBN Legal business name Davis, Stephanie Kirby
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2011
Last updated Jan 23rd, 2019 - about 6 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 1033402151 NPPES
Georgia MEDICAID 003111148A

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