Dickerson, Gene Franklin

Dickerson, Gene Franklin is an individual health care provider with primary practice located at 115 N Sumter St Ste 300, Sumter SC 29150-4972. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Dickerson, Gene Franklin can be contacted via phone (803) 775-4655.

Contact Information

Primary practice address
115 N Sumter St Ste 300 Sumter SC 29150-4972
Phone: (803) 775-4655
Fax: (803) 775-7258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 011086 South Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 11086 South Carolina

Profile Details

NPI number 1386698652
LBN Legal business name Dickerson, Gene Franklin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jan 8th, 2019 - 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 1386698652 NPPES
South Carolina MEDICAID 110864

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