Roberts, Douglas E

Roberts, Douglas E is an individual health care provider with primary practice located at 7182 Woodrow St Ste 200 , Irmo SC 29063-2958. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Roberts, Douglas E can be contacted via phone (803) 749-1111.

Contact Information

Primary practice address
7182 Woodrow St Ste 200 Irmo SC 29063-2958
Phone: (803) 749-1111
Fax: (803) 749-0050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 13895 South Carolina

Profile Details

NPI number 1154367597
LBN Legal business name Roberts, Douglas E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Feb 26th, 2024 - about last year

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 1154367597 NPPES
South Carolina Other 13895 SC MEDICAL LICENSE
South Carolina MEDICAID 138951 SC MEDICAL LICENSE

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