Dietz, Teresa G.

Dietz, Teresa G. is an individual health care provider with primary practice located at 301 E Jackson St , Dillon SC 29536-2509. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dietz, Teresa G. can be contacted via phone (843) 774-1166.

Contact Information

Primary practice address
301 E Jackson St Dillon SC 29536-2509
Phone: (843) 774-1166
Fax: (843) 777-5035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R31431 South Carolina

Profile Details

NPI number 1538121991
LBN Legal business name Dietz, Teresa G.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jul 9th, 2007 - about 18 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 1538121991 NPPES
South Carolina MEDICAID NP0504

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