Massey, Doreen Mary

Massey, Doreen Mary is an individual health care provider with primary practice located at 1510 Ribaut Rd , Port Royal SC 29935-1403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Massey, Doreen Mary can be contacted via phone (843) 770-0676.

Contact Information

Primary practice address
1510 Ribaut Rd Port Royal SC 29935-1403
Phone: (843) 770-0676
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN115838 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 24477 South Carolina

Profile Details

NPI number 1063463537
LBN Legal business name Massey, Doreen Mary
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Feb 24th, 2021 - about 4 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 1063463537 NPPES
Georgia MEDICAID 085386985A

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