Poyner, Phyllis C
Poyner, Phyllis C is an individual health care provider with primary practice located at 1410 Blanding St Ste 102 , Columbia SC 29201-2967. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Poyner, Phyllis C can be contacted via phone (803) 256-2500.Contact Information
Primary practice address
1410 Blanding St Ste 102
Columbia SC 29201-2967
Phone: (803) 256-2500
Fax: (803) 758-1726
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 364SP0200X | 20563 | South Carolina |
Profile Details
| NPI number | 1114970712 |
|---|---|
| LBN Legal business name | Poyner, Phyllis C |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Apr 16th, 2018 - about 7 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 | 1114970712 | NPPES |
| South Carolina | MEDICAID | NP0130 |
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