Montoya, Sara Blakely

Montoya, Sara Blakely is an individual health care provider with primary practice located at 507 N Laurel St , Summerville SC 29483-6558. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Montoya, Sara Blakely can be contacted via phone (843) 875-0600.

Contact Information

Primary practice address
507 N Laurel St Summerville SC 29483-6558
Phone: (843) 875-0600
Fax: (843) 871-3499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14024 South Carolina

Profile Details

NPI number 1205893690
LBN Legal business name Montoya, Sara Blakely
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jun 1st, 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 1205893690 NPPES
South Carolina Other 080092632 RR MEDICARE
South Carolina MEDICAID 140243 RR MEDICARE

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