Dement, Samuel Houston

Dement, Samuel Houston is an individual health care provider with primary practice located at 8 Memorial Medical Ct Ste 1 , Greenville SC 29605-4400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Dement, Samuel Houston can be contacted via phone (864) 295-3492.

Contact Information

Primary practice address
8 Memorial Medical Ct Ste 1 Greenville SC 29605-4400
Phone: (864) 295-3492
Fax: (864) 295-4817
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 15989 South Carolina

Profile Details

NPI number 1124007570
LBN Legal business name Dement, Samuel Houston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Nov 8th, 2021 - about 3 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 1124007570 NPPES
South Carolina MEDICAID 159893

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