Covington, Samuel Clayton

Covington, Samuel Clayton is an individual health care provider with primary practice located at 1796 Chelwood Cir , Charleston SC 29407-3702. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Covington, Samuel Clayton can be contacted via phone (843) 412-0032.

Contact Information

Primary practice address
1796 Chelwood Cir Charleston SC 29407-3702
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 12655 South Carolina
Allopathic & Osteopathic Physicians / General Practice 208D00000X 12655 South Carolina

Profile Details

NPI number 1063694461
LBN Legal business name Covington, Samuel Clayton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2007
Last updated Apr 18th, 2010 - about 15 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 1063694461 NPPES
South Carolina MEDICAID 126553

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