Julia B. Colclough, CERTIFIED HAIR LOSS
Individual provider Active NPI Naturopath · Sumter, SC
NPI 1356624449 · NPPES record last updated Sep 24, 2011
Key facts
- NPI
- 1356624449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- RC 23360 (SC)
- Practice address
- 1275A Peach Orchard Rd
Sumter, SC 29154-1356 - Phone
- (803) 494-9812
- Fax
- (803) 494-4260
- NPI assigned
- Sep 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC 23360 | SC | MD | Naturopath |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | RC 23360 | SC | Yes |
Addresses
Primary practice location
1275A Peach Orchard Rd
Sumter, SC 29154-1356
Mailing address
1275A Peach Orchard Rd
Sumter, SC 29154-1356
Phone (803) 494-9812
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.