Healthcare Provider Details
I. General information
NPI: 1457648461
Provider Name (Legal Business Name): SABITHA ALIGETI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/29/2011
Last Update Date: 07/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2611 LIBERTY HILL RD. SANTEE-WATEREE COMMUNITY MENTAL HEALTH CENTER
CAMDEN SC
29020
US
IV. Provider business mailing address
215 N. MAGNOLIA ST. SANTEE-WATEREE COMMUNITY MENTAL HEALTH CENTER
SUMTER SC
29151-1946
US
V. Phone/Fax
- Phone: 803-432-5323
- Fax: 803-713-3978
- Phone: 803-775-9364
- Fax: 803-773-6615
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P2900X |
| Taxonomy | Pain Medicine (Psychiatry & Neurology) Physician |
| License Number | 37858 |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: