Domogauer, Erica Lee

Domogauer, Erica Lee is an individual health care provider with primary practice located at 3361 Highway 9 E , Little River SC 29566-7826. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Domogauer, Erica Lee can be contacted via phone (843) 497-5929.

Contact Information

Primary practice address
3361 Highway 9 E Little River SC 29566-7826
Phone: (843) 497-5929
Fax: (866) 778-9612
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X TL3218 South Carolina

Profile Details

NPI number 1679036925
LBN Legal business name Domogauer, Erica Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2019
Last updated Mar 7th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679036925 NPPES
North Carolina MEDICAID 1679036925
North Carolina MEDICAID 3167PA

Popular Providers