MEDICARE: MRS. DAWNE FERGUSON HERSHBERGER F.N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	296	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	576000003	OTHER	SC	TAX ID
3	54147	OTHER	SC	SC LICENSE NUMBER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871572107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DAWNE FERGUSON HERSHBERGER F.N.P.

Provider Business Mailing Address
First Line	:	PO BOX 887
Second Line	:
City	:	ABBEVILLE
State	:	SC
Zip	:	29620-0887
Country	:	US
Telephone Number	:	864-366-9681
Fax Number	:	864-366-5600

Provider Business Practice Location Address
First Line	:	901 W GREENWOOD ST
Second Line	:	SUITE 9
City	:	ABBEVILLE
State	:	SC
Zip	:	29620-5678
Country	:	US
Telephone Number	:	864-366-9681
Fax Number	:	864-366-5600

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	07/16/2024

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Directions to “ MRS. DAWNE FERGUSON HERSHBERGER F.N.P.” Practice Location

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