Gettys, Edna Katherine Gantt
Gettys, Edna Katherine Gantt is an individual health care provider with primary practice located at 727 Se Main St Suite 300, Simpsonville SC 29681-3247. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gettys, Edna Katherine Gantt can be contacted via phone (864) 522-1170.Contact Information
Primary practice address
727 Se Main St Suite 300
Simpsonville SC 29681-3247
Phone: (864) 522-1170
Fax: (864) 522-1175
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 38843 | South Carolina |
Profile Details
| NPI number | 1285809970 |
|---|---|
| LBN Legal business name | Gettys, Edna Katherine Gantt |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2008 |
| Last updated | May 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285809970 | NPPES |
| North Carolina | MEDICAID | 5918508 | |
| North Carolina | MEDICAID | NC1476 |
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