Dominique, Ophillia
Dominique, Ophillia is an individual health care provider with primary practice located at 501 Radford Blvd , Dillon SC 29536-5001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dominique, Ophillia can be contacted via phone (803) 605-0270.Contact Information
Primary practice address
501 Radford Blvd
Dillon SC 29536-5001
Phone: (803) 605-0270
Fax: (843) 605-0268
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 26107 | South Carolina |
Profile Details
| NPI number | 1871226738 |
|---|---|
| LBN Legal business name | Dominique, Ophillia |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2022 |
| Last updated | Jul 7th, 2022 - 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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