Healthcare Provider Details

I. General information

NPI: 1922047760
Provider Name (Legal Business Name): PAULA L BELMAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 01/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2689 HIGHWAY 1 S
ELGIN SC
29045-9055
US

IV. Provider business mailing address

PO BOX 1259 SENTINEL HEALTH PARTNERS PA BUSINESS OFFICE
CAMDEN SC
29021-1259
US

V. Phone/Fax

Practice location:
  • Phone: 803-438-7698
  • Fax: 803-438-7563
Mailing address:
  • Phone: 803-713-8350
  • Fax: 803-713-8433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number18969
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number18969
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: