Villasuso, Courtney Atkins

Villasuso, Courtney Atkins is an individual health care provider with primary practice located at 808 Farrar Dr , Conway SC 29526-8747. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Villasuso, Courtney Atkins can be contacted via phone (843) 234-8700.

Contact Information

Primary practice address
808 Farrar Dr Conway SC 29526-8747
Phone: (843) 234-8700
Fax: (843) 234-8689
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3571 South Carolina

Profile Details

NPI number 1861047466
LBN Legal business name Villasuso, Courtney Atkins
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2019
Last updated Apr 12th, 2024 - about 2 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 1861047466 NPPES
South Carolina MEDICAID 4228PA

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