Rawls, Douglas Sullivan
Rawls, Douglas Sullivan is an individual health care provider with primary practice located at 6335 Dorchester Rd , North Charleston SC 29418-5103. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rawls, Douglas Sullivan can be contacted via phone (843) 552-2580.Contact Information
Primary practice address
6335 Dorchester Rd
North Charleston SC 29418-5103
Phone: (843) 552-2580
Fax: (843) 552-2596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1823 | South Carolina |
Profile Details
| NPI number | 1609814573 |
|---|---|
| LBN Legal business name | Rawls, Douglas Sullivan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1609814573 | NPPES |
| South Carolina | MEDICAID | ZA9589 | |
| South Carolina | MEDICAID | Z18231 |
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