Donnelly, Sally Catherine

Donnelly, Sally Catherine is an individual health care provider with primary practice located at 1200 E Main St Ste 12 , Spartanburg SC 29307-1738. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Donnelly, Sally Catherine can be contacted via phone (864) 560-9260.

Contact Information

Primary practice address
1200 E Main St Ste 12 Spartanburg SC 29307-1738
Phone: (864) 560-9260
Fax: (864) 560-9265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 216119 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 216119 South Carolina

Profile Details

NPI number 1598318966
LBN Legal business name Donnelly, Sally Catherine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2019
Last updated Mar 17th, 2023 - about 3 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 1598318966 NPPES
South Carolina MEDICAID NP6239
South Carolina Other SCG2815019
South Carolina Other SCG281J577
South Carolina Other SCG2816121
South Carolina Other SCG2816084
South Carolina Other SCG2816067

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