Lilly, Sara
Lilly, Sara is an individual health care provider with primary practice located at 200 Patewood Dr Ste A200 , Greenville SC 29615-3580. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Lilly, Sara can be contacted via phone (864) 454-5115.Contact Information
Primary practice address
200 Patewood Dr Ste A200
Greenville SC 29615-3580
Phone: (864) 454-5115
Fax: (864) 241-9205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 82809 | South Carolina |
Profile Details
| NPI number | 1841644077 |
|---|---|
| LBN Legal business name | Lilly, Sara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2016 |
| Last updated | Sep 29th, 2022 - about 2 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 | 1841644077 | NPPES |
| South Carolina | MEDICAID | PENDING |
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