Sturdivant, Rachel L.

Sturdivant, Rachel L. is an individual health care provider with primary practice located at 171 Ashley Avenue , Charleston SC 29425-0100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Sturdivant, Rachel L. can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
171 Ashley Avenue Charleston SC 29425-0100
Fax: (843) 723-7404
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 22000 South Carolina

Profile Details

NPI number 1225037765
LBN Legal business name Sturdivant, Rachel L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Oct 21st, 2020 - about 4 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 1225037765 NPPES
South Carolina MEDICAID 220004

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