Bottomy, David Paul

Bottomy, David Paul is an individual health care provider with primary practice located at 1706 2Nd Loop Rd , Florence SC 29501-6119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bottomy, David Paul can be contacted via phone (843) 629-8084.

Contact Information

Primary practice address
1706 2Nd Loop Rd Florence SC 29501-6119
Fax: (843) 629-8684
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 21587 South Carolina

Profile Details

NPI number 1134148547
LBN Legal business name Bottomy, David Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 8th, 2007 - about 17 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 1134148547 NPPES
South Carolina MEDICAID GP0965

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