Theriot Roley, Laurie Marie

Theriot Roley, Laurie Marie is an individual health care provider with primary practice located at 255 Enterprise Blvd Suite 101, Greenville SC 29615-6300. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Theriot Roley, Laurie Marie can be contacted via phone (864) 454-8120.

Contact Information

Primary practice address
255 Enterprise Blvd Suite 101 Greenville SC 29615-6300
Phone: (864) 454-8120
Fax: (864) 454-8125
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 34100 South Carolina

Profile Details

NPI number 1275715690
LBN Legal business name Theriot Roley, Laurie Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2007
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 1275715690 NPPES
South Carolina MEDICAID 341008

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