Stuck, Deborah Lou

Stuck, Deborah Lou is an individual health care provider with primary practice located at 880 W Moultrie St Suite 200, Winnsboro SC 29180-2411. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Stuck, Deborah Lou can be contacted via phone (803) 635-6487.

Contact Information

Primary practice address
880 W Moultrie St Suite 200 Winnsboro SC 29180-2411
Phone: (803) 635-6487
Fax: (803) 635-6089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14377 South Carolina

Profile Details

NPI number 1912913435
LBN Legal business name Stuck, Deborah Lou
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 9th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912913435 NPPES
South Carolina MEDICAID 143776

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