Detavis, Austin

Detavis, Austin is an sole proprietor health care provider with primary practice located at 109 Physicians Dr , Greer SC 29650-2446. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Detavis, Austin can be contacted via phone (864) 797-8856.

Contact Information

Primary practice address
109 Physicians Dr Greer SC 29650-2446
Phone: (864) 797-8856
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X LL89914 South Carolina

Profile Details

NPI number 1952006603
LBN Legal business name Detavis, Austin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2023
Last updated Jul 12th, 2023 - about last year

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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