Mccormick, Douglas P

Mccormick, Douglas P is an individual health care provider with primary practice located at 890 W Faris Rd Suite 520, Greenville SC 29605-4247. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Mccormick, Douglas P can be contacted via phone (864) 455-9033.

Contact Information

Primary practice address
890 W Faris Rd Suite 520 Greenville SC 29605-4247
Phone: (864) 455-9033
Fax: (864) 455-6559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 84 South Carolina

Profile Details

NPI number 1972576213
LBN Legal business name Mccormick, Douglas P
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Aug 21st, 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 1972576213 NPPES
South Carolina MEDICAID NP0409
South Carolina Other P01044300

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