CORONA LAVETTA CALVARY NPI 1093448508

NPI Information

  • NPI: 1093448508
  • Provider Name: CORONA LAVETTA CALVARY
  • Classification: Driver - 172A00000X
  • Entity Type: Individual
  • Address: 412 OLD TROLLEY RD STE B
    SUMMERVILLE, SC
    ZIP 29485
  • Phone: (843) 345-8178

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NPI Details

Corona Lavetta Calvary is a driver in Summerville, SC. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. Corona Lavetta Calvary NPI is 1093448508. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

412 OLD TROLLEY RD STE B
SUMMERVILLE, SC
ZIP 29485-666
Phone: (843) 345-8178

The enumeration date for this NPI number is 7/3/2022 and was last updated on 7/3/2022.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1172A00000XDriver008818045SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
188-2773025MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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