Individual
PATRICE L HIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
40 BALDWIN AVE, LUGOFF, SC 29078-9406
(803) 408-3262
(803) 408-8895
Mailing address
645 S SEVENTH ST, MC BEE, SC 29101-7101
(843) 335-8291
(843) 335-8731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
699
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006996
—
SC
01
—
P00210646
MEDICARE RAILROAD
SC
Enumeration date
08/08/2006
Last updated
11/06/2020
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