Graves, Antonia

Graves, Antonia is an individual health care provider with primary practice located at 360 N Irby St , Florence SC 29501-2808. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Graves, Antonia can be contacted via phone (843) 667-9414.

Contact Information

Primary practice address
360 N Irby St Florence SC 29501-2808
Fax: (843) 667-1362
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6377 South Carolina

Profile Details

NPI number 1841350006
LBN Legal business name Graves, Antonia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jul 21st, 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 1841350006 NPPES
South Carolina Other 6377 SC LICENSE #

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