SOVEREIGN MEDICAL CONSULTING LLC NPI 1831696251

NPI Information

SOVEREIGN MEDICAL CONSULTING LLC is a point of service in Greenville, SC. The provider is 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. SOVEREIGN MEDICAL CONSULTING LLC NPI is 1831696251. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15 VILLA RD, APT #182
GREENVILLE, SC
ZIP 29615
Phone: (864) 451-4250

The provider's authorized official is Edward Edmond Grace .
The authorized official title is President and has the following contact phone number (864) 451-4250.

The enumeration date for this NPI number is 4/11/2018 and was last updated on 4/11/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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