Daughtry, Patricia

Daughtry, Patricia is an individual health care provider with primary practice located at 1776 William Kennerty Drive West Ashley Middle School, Charleston SC 29407. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Daughtry, Patricia can be contacted via phone (843) 852-6536.

Contact Information

Primary practice address
1776 William Kennerty Drive West Ashley Middle School Charleston SC 29407
Phone: (843) 852-6536
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X South Carolina

Profile Details

NPI number 1306280078
LBN Legal business name Daughtry, Patricia
Credentials ED. S.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2013
Last updated Apr 24th, 2013 - about 12 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 1306280078 NPPES
South Carolina MEDICAID 1588615918

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