MRS. SANDRA DELOATCH AULTON


Address: Redfern Health Center Clemson University, 735 Mcmillan Road, Clemson, SC 29634-4054
Phone: 8646562869

MRS. SANDRA DELOATCH AULTON (NPI# 1427037480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427037480
Entity Type Individual
Full Name MRS. SANDRA DELOATCH AULTON
Credential ARNP
Practice Address Redfern Health Center Clemson University
735 Mcmillan Road
Clemson
SC 29634-4054
Practice Telephone 8646562869
Practice Fax Number 8646560760
Mailing Telephone 8646562869
Mailing Fax Number 8646560760
Enumeration Date 2006-01-10
Last Update Date 2014-12-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
ARNP485882 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address REDFERN HEALTH CENTER CLEMSON UNIVERSITY
735 MCMILLAN ROAD
City CLEMSON
State SC
Zip Code 29634-4054

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1548612823 Gage Nathaniel Berry Specialist/Technologist 110 Heisman St, Clemson, SC 29634-0001 2016-07-11
1174974687 Cherrish Megan Kyle Nurse Practitioner Edwards Hall 101 Mcmillan Rd, Clemson, SC 29634-0001 2016-06-27
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1396225769 Kristin Claude Nurse Practitioner 421 Se Main St Ste 100, Simpsonville, SC 29681-2697 2018-08-15
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Competitor

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City CLEMSON
Zip Code 29634

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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