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:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386698652 | NPPES |
| South Carolina | MEDICAID | 110864 |
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