Individual
KATHERINE HINES SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
11 DOCTORS PARK DR, SUITE 240, SPARTANBURG, SC 29307-1024
(864) 573-3593
(864) 515-9789
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
896
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0211PA
—
SC
01
—
P00803534
RR MEDICARE
SC
Enumeration date
01/08/2007
Last updated
04/23/2013
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