Ragwar, Atieno Alice R.

Ragwar, Atieno Alice R. is an individual health care provider with primary practice located at 109 Omni Dr Ste B , Seneca SC 29672-9448. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Ragwar, Atieno Alice R. can be contacted via phone (864) 888-4222.

Contact Information

Primary practice address
109 Omni Dr Ste B Seneca SC 29672-9448
Phone: (864) 888-4222
Fax: (864) 888-0023
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 044869 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31617 South Carolina

Profile Details

NPI number 1740249622
LBN Legal business name Ragwar, Atieno Alice R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 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 1740249622 NPPES
South Carolina MEDICAID GP4697
South Carolina MEDICAID 000811841C

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