Healthcare Provider Details

I. General information

NPI: 1992212385
Provider Name (Legal Business Name): SONYA J ARRINGTON CHES-28760
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2018
Last Update Date: 01/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 POLO RD
COLUMBIA SC
29223-2806
US

IV. Provider business mailing address

2821 KNIGHTBRIDGE RD
COLUMBIA SC
29223-2126
US

V. Phone/Fax

Practice location:
  • Phone: 803-419-7780
  • Fax: 803-419-7781
Mailing address:
  • Phone: 803-419-7780
  • Fax: 803-419-7781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number28760
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: