Douglas, Phyllis W

Douglas, Phyllis W is an individual health care provider with primary practice located at 1931 Industrial Park Rd , Conway SC 29526-5482. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Douglas, Phyllis W can be contacted via phone (843) 504-1084.

Contact Information

Primary practice address
1931 Industrial Park Rd Conway SC 29526-5482
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X R28290 South Carolina

Profile Details

NPI number 1588263461
LBN Legal business name Douglas, Phyllis W
Credentials RN, BSN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2020
Last updated Oct 21st, 2020 - about 5 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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