NPI 1831696251

Sovereign Medical Consulting LLC

Organisation Point of Service Greenville, SC

Practice location

Address: 15 Villa Rd, APT #182, Greenville, SC 29615
Phone: (864) 451-4250

Authorised official

Name: Edward Edmond Grace
Title: President
Phone: (864) 451-4250

Registered specialties (2)

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 101491182 (SC)

Other Point of Service providers in South Carolina →

Pharmacotherapy Pharmacist

Pharmacy Service Providers Taxonomy 1835P1200X Licence 308009535 (DC)

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Registry record

NPI: 1831696251
Entity type: Organization
NPI issued: 11 Apr 2018
Record last updated: 11 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.