Sovereign Medical Consulting Llc, NPI 1831696251
Point of Service in Greenville, SC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1831696251
NPI Entity Type Organization
Provider Name Sovereign Medical Consulting Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 15 Villa Rd, Apt #182, Greenville, SC, US
Provider Mailing Address 15 Villa Rd, Apt #182, Greenville, SC, US, 29615
Is Sole Proprietor? No
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Organization Official

Official Name DR. PHARM.D. Edward Edmond Grace
Official Position PRESIDENT
Phone 864-451-4250

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

305S00000X

Taxonomy Name Point of Service
Classification

Point of Service

Group

Managed Care Organizations

License No. 101491182
License State SC
Description This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Business Address

Sovereign Medical Consulting Llc
15 Villa Rd, Apt #182

Greenville, SC, US

Phone: 864-451-4250

Mailing Address

Sovereign Medical Consulting Llc
15 Villa Rd, Apt #182
Greenville, SC, US
ZIP 29615
Phone: 864-451-4250

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

1835P1200X

Pharmacy Service Providers

Pharmacist

308009535 DC No

Other Providers in SC, US

NPI Name Taxonomy Address

1104473065

NP Sylvia Elaine Wolsky

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OD William Cassidy Strange

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1710554944

Professional Barber Shop, Inc.

Organization

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Orangeburg, SC

1275995532

M.D. Leeanna Marie Clevenger

Individual

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Charleston, SC

1104115286

MS. ANP, APRN Joyce Ann Rineer

Individual

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150 Ella Kinley Cir Unit 305

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1588389936

Purposeful Prosperity Counseling & Consulting Llc

Organization

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514 Maple St

Bishopville, SC

1497345383

LMSW Mary Frances Dorrell

Individual

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Charleston, SC

1821379801

Pointe Dialysis Llc

Organization

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Suite D-3

Charleston, SC

1790400265

CNA Brooke Anne Nichols

Individual

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2233 Bethel Rd

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1932478757

OTR/L Sarah Bagley

Individual

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1962127308

Dental Professionals Of South Carolina, P.c.

Organization

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Myrtle Beach, SC

1194486324

AGACNP Kaitlin O'sullivan

Individual

Gerontology Nurse Practitioner

1601 Greene St

Columbia, SC

1881089852

D.O Mohamed Mohamed Kelli

Individual

Surgical Critical Care Physician

920 Doug White Dr Ste 210

Myrtle Beach, SC

1285963587

ARNP Pamela Suzanne Harmon

Individual

Neonatal Nurse Practitioner

701 Grove Rd

Greenville, SC

1417672841

Lawanna S Carson

Individual

Phlebotomy Technician

4005a Pebblebrook Ct

Spartanburg, SC

1134659287

MS. BCBA, COBA Brittany Leigh Fyffe

Individual

Behavioral Analyst

143 Norwood Dr

Easley, SC

1972228393

PHARMD Taylor Lynn Brown

Individual

Pharmacist

1676 N Highway 17

Mt Pleasant, SC

1104541515

Katherine Elizabeth Leighton

Individual

Mental Health Counselor

320 Midland Pkwy Ste C

Summerville, SC

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