Agostino, Mary Ann Buchanan

Agostino, Mary Ann Buchanan is an sole proprietor health care provider with primary practice located at 877 W Faris Rd Ste D , Greenville SC 29605-4296. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Agostino, Mary Ann Buchanan can be contacted via phone (864) 455-0931.

Contact Information

Primary practice address
877 W Faris Rd Ste D Greenville SC 29605-4296
Fax: (864) 455-9014
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26712 South Carolina

Profile Details

NPI number 1306554225
LBN Legal business name Agostino, Mary Ann Buchanan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2022
Last updated Nov 28th, 2022 - 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 1306554225 NPPES
South Carolina MEDICAID PENDING

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