Bethea-Grant, Angela L

Bethea-Grant, Angela L is an individual health care provider with primary practice located at 125 E Cheves St , Florence SC 29506-2526. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Bethea-Grant, Angela L can be contacted via phone (843) 317-4081.

Contact Information

Primary practice address
125 E Cheves St Florence SC 29506-2526
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1265876783
LBN Legal business name Bethea-Grant, Angela L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2013
Last updated Apr 26th, 2013 - about 11 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 1265876783 NPPES
South Carolina Other 3337 MEDICARE
South Carolina MEDICAID 376421 MEDICARE

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