Dickinson, Lewis Garrett

Dickinson, Lewis Garrett is an individual health care provider with primary practice located at 200 S Herlong Ave Ste G , Rock Hill SC 29732-1182. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dickinson, Lewis Garrett can be contacted via phone (803) 909-6300.

Contact Information

Primary practice address
200 S Herlong Ave Ste G Rock Hill SC 29732-1182
Fax: (803) 909-6310
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 22540 South Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X M-17842 Idaho

Profile Details

NPI number 1891779641
LBN Legal business name Dickinson, Lewis Garrett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Jun 28th, 2024 - about 6 months 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 1891779641 NPPES
South Carolina MEDICAID T67022

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