Worth, Mary Sue

Worth, Mary Sue is an individual health care provider with primary practice located at 130 Highway 252 , Anderson SC 29621-5054. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Worth, Mary Sue can be contacted via phone (803) 898-8405.

Contact Information

Primary practice address
130 Highway 252 Anderson SC 29621-5054
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R61670 South Carolina

Profile Details

NPI number 1811925142
LBN Legal business name Worth, Mary Sue
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Nov 7th, 2023 - about last year

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 1811925142 NPPES
South Carolina MEDICAID NP0716

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