Moultrie, Addie
Moultrie, Addie is an sole proprietor health care provider with primary practice located at 301 Palmetto Park Blvd , Lexington SC 29072-7872. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Moultrie, Addie can be contacted via phone (803) 996-1500.Contact Information
Primary practice address
301 Palmetto Park Blvd
Lexington SC 29072-7872
Phone: (803) 996-1500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 49640 | South Carolina |
Profile Details
| NPI number | 1265838486 |
|---|---|
| LBN Legal business name | Moultrie, Addie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2014 |
| Last updated | Nov 16th, 2014 - about 12 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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