Addy, Douglas M

Addy, Douglas M is an individual health care provider with primary practice located at 233 Longtown Rd , Columbia SC 29229-8550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Addy, Douglas M can be contacted via phone (803) 788-0268.

Contact Information

Primary practice address
233 Longtown Rd Columbia SC 29229-8550
Fax: (803) 788-7384
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 21388 South Carolina

Profile Details

NPI number 1942270590
LBN Legal business name Addy, Douglas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jul 12th, 2024 - about 5 months 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 1942270590 NPPES
South Carolina MEDICAID NOO484

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