Stover, John M

Stover, John M is an individual health care provider with primary practice located at 606 Black River Rd , Georgetown SC 29440-3304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Stover, John M can be contacted via phone (843) 527-7000.

Contact Information

Primary practice address
606 Black River Rd Georgetown SC 29440-3304
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 22634 South Carolina

Profile Details

NPI number 1942202411
LBN Legal business name Stover, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2005
Last updated Mar 13th, 2024 - about 9 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942202411 NPPES
South Carolina MEDICAID T66764

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