Doctor Name: | MISS SHARON NICOLE FOGGIE |
NPI Number: | 1528481355 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CERTIFIED HAIR LOSS |
License Number: | RC17738 |
Business Practice Address: | 14009 Hwy 221 Enoree, SC - 29335 |
Business Phone Number: | 8649697070 |
Business Fax Number: | |
Mailing Address: | 14009 Hwy 221, ENOREE |
State: | SC |
Postal Code: | 29335 |
Phone Number: | 8649697070 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2014 |
NPI Last Update Date: | 01/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1744P3200X |
License Number: | RC17738 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | Prosthetics Case Management |
Taxonomy Definition: |