Cheveraquez Whitfield

Individual provider Active NPI Homemaker · Anderson, SC

NPI 1841024601 · NPPES record last updated Aug 26, 2024

Key facts

NPI
1841024601
Entity type
Individual (NPI type 1)
Primary specialty
Homemaker 376J00000X
License
IHCP-2268 (SC)
Practice address
2315 N Main St Ste 211C
Anderson, SC 29621-3880
Phone
(864) 598-3603
Fax
(864) 210-9022
NPI assigned
Aug 26, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
IHCP-2268SCMDHomemaker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X IHCP-2268 SC Yes

Addresses

Primary practice location

2315 N Main St Ste 211C
Anderson, SC 29621-3880

Mailing address

2315 N Main St Ste 211C
Anderson, SC 29621-3880
Phone (864) 598-3603

Other providers in Anderson, SC

All providers in Anderson, SC · Homemaker in South Carolina

Sources for this page

Verify at the official NPI Registry.