Polly, Jowanda Alish
Polly, Jowanda Alish is an individual health care provider with primary practice located at 1547 Parkway Suite 100, Greenwood SC 29646-4081. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Polly, Jowanda Alish can be contacted via phone (864) 229-7120.Contact Information
Primary practice address
1547 Parkway Suite 100
Greenwood SC 29646-4081
Phone: (864) 229-7120
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1336348507 |
|---|---|
| LBN Legal business name | Polly, Jowanda Alish |
| Credentials | B.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2007 |
| Last updated | Jan 23rd, 2015 - about 9 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 | 1336348507 | NPPES |
| South Carolina | MEDICAID | 421504 |
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