MRS. PHYLLIS W DOUGLAS


Address: 1931 Industrial Park Rd, Conway, SC 29526-5482
Phone: 8435041084

MRS. PHYLLIS W DOUGLAS (NPI# 1588263461) 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) 1588263461
Entity Type Individual
Full Name MRS. PHYLLIS W DOUGLAS
Credential RN, BSN
Practice Address 1931 Industrial Park Rd
Conway
SC 29526-5482
Practice Telephone 8435041084
Mailing Telephone 8435041084
Enumeration Date 2020-10-21
Last Update Date 2020-10-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
R28290 SC Nursing Service Providers

Office Location

Street Address 1931 INDUSTRIAL PARK RD
City CONWAY
State SC
Zip Code 29526-5482

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629049382 Jill E Michael Nurse Practitioner 1931 Industrial Park Rd, Conway, SC 29526-5645 2006-01-31
1265045777 Stefania Serianni Registered Nurse 1931 Industrial Park Rd, Conway, SC 29526-5482 2020-08-25
1427677863 Amanda Mcdowell Registered Nurse 1931 Industrial Park Rd, Conway, SC 29526-5482 2020-04-15
1881230464 Debra Todd Licensed Practical Nurse 1931 Industrial Park Rd, Conway, SC 29526-5482 2019-11-19
1508401555 Emily Goad Atkinson Registered Nurse 1931 Industrial Park Rd, Conway, SC 29526-5482 2019-11-14
1790338614 Susan B Metallo Registered Nurse 1931 Industrial Park Rd, Conway, SC 29526-5482 2019-07-19
1376103564 Jeana Nicole Richardson Registered Nurse 1931 Industrial Park Rd, Conway, SC 29526-5482 2019-06-19
1124684733 Debra L. Toomey Registered Nurse 1931 Industrial Park Rd, Conway, SC 29526-5482 2019-05-20
1982174983 Kelly Ann Ryder Registered Nurse 1931 Industrial Park Rd, Conway, SC 29526-5482 2018-12-03
1982173209 Alyssa Gideon Registered Nurse 1931 Industrial Park Rd, Conway, SC 29526-5482 2018-11-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457975237 Terri L Champion Massage Therapist 172 Waccamaw Medical Park Court, Conway, SC 29526 2020-06-08
1689204398 Alayna Defalco Clinical Exercise Physiologist 1320 501 Business, Unit E, Conway, SC 29526 2020-01-22
1124672662 Proxsys Rx - Sc, LLC Pharmacy 300 Singelton Ridge Road, Conway, SC 29526 2019-08-01
1598227431 Surgery Center of Conway Inc Clinic/Center 1405 Main Street, Conway, SC 29526 2019-04-01
1801374962 Trevor James Hess Specialist/Technologist 905 One Landon Loop, Conway, SC 29526 2018-08-01
1851800817 Katherine Ann Nimphius Behavioral Analyst 105 Timberline Dr, Conway, SC 29526 2017-09-21
1922544253 William Houck Specialist/Technologist 925 One Landon Loop, Conway, SC 29526 2017-01-10
1952857278 Courtney Jeanette Smith Counselor 164 Waccamaw Medical Park Dr., Conway, SC 29526 2016-08-28
1336502632 Jebediah S. Christy, D.d.s - Conway, Pllc Dentist 2756 Church St, Conway, SC 29526 2016-04-04
1447615208 Abl Enterprises, LLC Optometrist 113 Citadel Drive, Conway, SC 29526 2015-12-22
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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801213327 Tonya Peavy Registered Nurse 729 Brown Swamp Rd, Conway, SC 29527-3636 2014-03-21
1316181670 Robert Lane Bowen Registered Nurse 32 Timothy Ln, Conway, AR 72034-4959 2009-04-29
1508401555 Emily Goad Atkinson Registered Nurse 1931 Industrial Park Rd, Conway, SC 29526-5482 2019-11-14
1225457062 Patricia Michaelis Shuping Registered Nurse 1931 Industrial Park Rd, Conway, SC 29526-5482 2014-04-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932711777 Alicia Blanding Registered Nurse 865 Saint Paul Church Cir, Camden, SC 29020-1647 2020-08-22
1598394892 Lawana M Jeter Registered Nurse 8 Sycamore Dr Ste B8b, Greenville, SC 29607-2965 2020-04-07
1295369312 Diane Martin Registered Nurse 1322 W Poinsett St, Greer, SC 29650-1250 2020-02-27
1629627732 Amari Williams Registered Nurse 1407 Red Oaks Dr, Rock Hill, SC 29730-6598 2019-09-11
1851946123 Abundant Life Home Care Services LLC Registered Nurse 1565 Ebenezer Rd Ste 112, Rock Hill, SC 29732-3421 2019-08-05
1205398294 River Road Care Registered Nurse 50 Promise Land Rd, Edgefield, SC 29824-0001 2019-04-01
1043795560 Quanisha S Corley Registered Nurse 821 N Brickyard Rd, Columbia, SC 29223-8227 2018-10-01
1285121640 Linda Reeves Mccullough Registered Nurse 1014bwhitehall Rd., Anderson, SC 29625 2018-04-20
1295233088 Veronica Anderson Registered Nurse 1070 Whitlow Blvd, Summerville, SC 29483-5343 2018-01-26
1629583554 Wendy S Fiddler Registered Nurse 1092 Johnnie Dodds Blvd Ste 112, Mt Pleasant, SC 29464-6192 2017-12-14
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Competitor

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City CONWAY
Zip Code 29526

Improve Information

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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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