Tetterton, Stephanie H
Tetterton, Stephanie H is an individual health care provider with primary practice located at 15 Exchange Dr , Lugoff SC 29078-9198. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Tetterton, Stephanie H can be contacted via phone (803) 408-3277.Contact Information
Primary practice address
15 Exchange Dr
Lugoff SC 29078-9198
Phone: (803) 408-3277
Fax: (803) 408-3282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 860 | South Carolina |
Profile Details
| NPI number | 1154339695 |
|---|---|
| LBN Legal business name | Tetterton, Stephanie H |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Sep 22nd, 2011 - about 15 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 | 1154339695 | NPPES |
| South Carolina | MEDICAID | 860 |
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