Perry, Dianna Michelle

Perry, Dianna Michelle is an individual health care provider with primary practice located at 722 Hyatt St , Gaffney SC 29341-2643. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Perry, Dianna Michelle can be contacted via phone (864) 489-2400.

Contact Information

Primary practice address
722 Hyatt St Gaffney SC 29341-2643
Phone: (864) 489-2400
Fax: (864) 488-3987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20475 South Carolina

Profile Details

NPI number 1932657640
LBN Legal business name Perry, Dianna Michelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2016
Last updated Sep 6th, 2022 - 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 1932657640 NPPES
South Carolina MEDICAID NP4282
South Carolina Other SC97646084
South Carolina Other SC9764J577
South Carolina Other SC97646067

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