Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 4588 | SC |
NPI | 1306399415 |
---|---|
Provider Name | Dr. Alva Lawton Strickland |
First Address | Saint Helena Island, SC 29920-5739 |
Second Address | Saint Helena Island, SC 29920-5739 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2016 |
Last Update Date | 26/07/2016 |