Speaks, Dominique Sophia Destiny

Speaks, Dominique Sophia Destiny is an individual health care provider with primary practice located at 652 N Matthews Rd , Lake City SC 29560-7008. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Speaks, Dominique Sophia Destiny can be contacted via phone (843) 432-3677.

Contact Information

Primary practice address
652 N Matthews Rd Lake City SC 29560-7008
Phone: (843) 432-3677
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19820 South Carolina

Profile Details

NPI number 1235595141
LBN Legal business name Speaks, Dominique Sophia Destiny
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2016
Last updated Jan 17th, 2023 - about 2 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.

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