Little, Theresa R

Little, Theresa R is an individual health care provider with primary practice located at 701 Grove Rd , Greenville SC 29605-4210. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Little, Theresa R can be contacted via phone (864) 522-4880.

Contact Information

Primary practice address
701 Grove Rd Greenville SC 29605-4210
Phone: (864) 522-4880
Fax: (864) 522-4885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X A820 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 820 South Carolina

Profile Details

NPI number 1396799763
LBN Legal business name Little, Theresa R
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Apr 29th, 2024 - about last year

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 1396799763 NPPES
South Carolina MEDICAID 0085PA
South Carolina Other P00802359

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