Labotka, Adrienne Louise

Labotka, Adrienne Louise is an individual health care provider with primary practice located at 406 Memorial Drive Ext , Greer SC 29651-1818. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Labotka, Adrienne Louise can be contacted via phone (864) 877-9066.

Contact Information

Primary practice address
406 Memorial Drive Ext Greer SC 29651-1818
Phone: (864) 877-9066
Fax: (864) 848-3291
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23633 South Carolina

Profile Details

NPI number 1467406371
LBN Legal business name Labotka, Adrienne Louise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Oct 2nd, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467406371 NPPES
South Carolina MEDICAID T79420
South Carolina Other P00423931

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