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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841644077 NPPES
South Carolina MEDICAID PENDING

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