Smith, Lisa Cunningham
Smith, Lisa Cunningham is an individual health care provider with primary practice located at 65 International Dr , Greenville SC 29615-4816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Lisa Cunningham can be contacted via phone (864) 987-7000.Contact Information
Primary practice address
65 International Dr
Greenville SC 29615-4816
Phone: (864) 987-7000
Fax: (864) 987-7020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1165 | South Carolina |
Profile Details
| NPI number | 1164428397 |
|---|---|
| LBN Legal business name | Smith, Lisa Cunningham |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Oct 13th, 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 | 1164428397 | NPPES |
| South Carolina | MEDICAID | NP0265 | |
| South Carolina | Other | P01129674 |
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