Dannelly, Mary E

Dannelly, Mary E is an individual health care provider with primary practice located at 1316 N Lake Dr , Lexington SC 29072-7653. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dannelly, Mary E can be contacted via phone (803) 358-1191.

Contact Information

Primary practice address
1316 N Lake Dr Lexington SC 29072-7653
Fax: (803) 358-1180
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN 380 South Carolina

Profile Details

NPI number 1124082805
LBN Legal business name Dannelly, Mary E
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Mar 16th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124082805 NPPES
South Carolina MEDICAID NP1849

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