Ravenell, Dianna D
Ravenell, Dianna D is an individual health care provider with primary practice located at 9 Richland Medical Park Dr Ste 620 , Columbia SC 29203-6845. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ravenell, Dianna D can be contacted via phone (803) 779-6776.Contact Information
Primary practice address
9 Richland Medical Park Dr Ste 620
Columbia SC 29203-6845
Phone: (803) 779-6776
Fax: (803) 779-7346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 28087 | South Carolina |
Profile Details
| NPI number | 1891789624 |
|---|---|
| LBN Legal business name | Ravenell, Dianna D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Sep 22nd, 2021 - about 3 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 | 1891789624 | NPPES |
| South Carolina | MEDICAID | 280877 |
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