Theriot Roley, Laurie Marie
Theriot Roley, Laurie Marie is an individual health care provider with primary practice located at 255 Enterprise Blvd Suite 101, Greenville SC 29615-6300. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Theriot Roley, Laurie Marie can be contacted via phone (864) 454-8120.Contact Information
Primary practice address
255 Enterprise Blvd Suite 101
Greenville SC 29615-6300
Phone: (864) 454-8120
Fax: (864) 454-8125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 34100 | South Carolina |
Profile Details
| NPI number | 1275715690 |
|---|---|
| LBN Legal business name | Theriot Roley, Laurie Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2007 |
| Last updated | May 25th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275715690 | NPPES |
| South Carolina | MEDICAID | 341008 |
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