Walvoord, Stella Marie
Walvoord, Stella Marie is an individual health care provider with primary practice located at 2 Memorial Medical Dr , Greenville SC 29605-4450. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Walvoord, Stella Marie can be contacted via phone (864) 295-4210.Contact Information
Primary practice address
2 Memorial Medical Dr
Greenville SC 29605-4450
Phone: (864) 295-4210
Fax: (864) 295-0615
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 27926 | South Carolina |
Profile Details
| NPI number | 1689795809 |
|---|---|
| LBN Legal business name | Walvoord, Stella Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Jun 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689795809 | NPPES |
| South Carolina | MEDICAID | 279264 |
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