Roane, Georgia
Roane, Georgia is an individual health care provider with primary practice located at 14 Farmfield Ave Suite E, Charleston SC 29407-7757. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Roane, Georgia can be contacted via phone (843) 571-6067.Contact Information
Primary practice address
14 Farmfield Ave Suite E
Charleston SC 29407-7757
Phone: (843) 571-6067
Fax: (843) 769-4853
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 15657 | South Carolina |
Profile Details
| NPI number | 1184662660 |
|---|---|
| LBN Legal business name | Roane, Georgia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Dec 18th, 2009 - about 17 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 | 1184662660 | NPPES |
| South Carolina | MEDICAID | 156574 |
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Nussbaum, Alan I
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