Liles, Dana Marie

Liles, Dana Marie is an individual health care provider with primary practice located at 501 Carnes Crossing Blvd Ste B , Summerville SC 29486-0407. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Liles, Dana Marie can be contacted via phone (843) 212-8080.

Contact Information

Primary practice address
501 Carnes Crossing Blvd Ste B Summerville SC 29486-0407
Phone: (843) 212-8080
Fax: (843) 203-2299
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 23265 South Carolina
Nursing Service Providers / Registered Nurse 163W00000X 75048 South Carolina

Profile Details

NPI number 1356990451
LBN Legal business name Liles, Dana Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2019
Last updated Mar 16th, 2023 - about 2 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 1356990451 NPPES
South Carolina MEDICAID NP6358

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