Dickerson, Beth Lynn

Dickerson, Beth Lynn is an individual health care provider with primary practice located at 111 Omni Drive , Seneca SC 29672-9448. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Dickerson, Beth Lynn can be contacted via phone (864) 888-4222.

Contact Information

Primary practice address
111 Omni Drive Seneca SC 29672-9448
Phone: (864) 888-4222
Fax: (864) 888-0023
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 300251 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 18068 South Carolina

Profile Details

NPI number 1700949120
LBN Legal business name Dickerson, Beth Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Oct 23rd, 2023 - about 2 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 1700949120 NPPES
South Carolina MEDICAID NP1107

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