Summerall, Virginia W

Summerall, Virginia W is an individual health care provider with primary practice located at 338 E Columbia Ave , Batesburg Leesville SC 29070-9285. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Summerall, Virginia W can be contacted via phone (803) 604-0066.

Contact Information

Primary practice address
338 E Columbia Ave Batesburg Leesville SC 29070-9285
Phone: (803) 604-0066
Fax: (803) 604-9924
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 123 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN 123 South Carolina

Profile Details

NPI number 1932248515
LBN Legal business name Summerall, Virginia W
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Nov 11th, 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 1932248515 NPPES
South Carolina MEDICAID NPO444

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