Lazariashvili, Nikoloz
Lazariashvili, Nikoloz is an sole proprietor health care provider with primary practice located at 819 N Fant St , Anderson SC 29621-5717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lazariashvili, Nikoloz can be contacted via phone (864) 261-1800.Contact Information
Primary practice address
819 N Fant St
Anderson SC 29621-5717
Phone: (864) 261-1800
Fax: (864) 261-1856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 22797 | South Carolina |
Profile Details
| NPI number | 1184673782 |
|---|---|
| LBN Legal business name | Lazariashvili, Nikoloz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184673782 | NPPES |
| South Carolina | MEDICAID | 227971 | |
| South Carolina | Other | H622371153 | |
| South Carolina | Other | 000964807C | |
| South Carolina | Other | P00469507 |
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