Gist, Demetrice Nichole
Gist, Demetrice Nichole is an individual health care provider with primary practice located at 1324 Commerce Dr , Dillon SC 29536. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Gist, Demetrice Nichole can be contacted via phone (843) 774-3851.Contact Information
Primary practice address
1324 Commerce Dr
Dillon SC 29536
Phone: (843) 774-3851
Fax: (843) 774-2622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 91850 | South Carolina |
Profile Details
| NPI number | 1760594857 |
|---|---|
| LBN Legal business name | Gist, Demetrice Nichole |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1760594857 | NPPES |
| South Carolina | MEDICAID | 405127 |
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