Pennington, Easter Lurenda

Pennington, Easter Lurenda is an individual health care provider with primary practice located at 20 Medical Ridge Dr , Greenville SC 29605-4267. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Pennington, Easter Lurenda can be contacted via phone (864) 220-7270.

Contact Information

Primary practice address
20 Medical Ridge Dr Greenville SC 29605-4267
Phone: (864) 220-7270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35754 South Carolina

Profile Details

NPI number 1952748626
LBN Legal business name Pennington, Easter Lurenda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2013
Last updated May 25th, 2021 - about 5 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 1952748626 NPPES
South Carolina MEDICAID 357544

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