MEDICARE: DORA ANN BELIN

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	374U00000X	Home Health Aide	19906	SC
2	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care	19906	SC

General Provider Information

NPI Number	:	1730987058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DORA ANN BELIN

Provider Business Mailing Address
First Line	:	845 SMITH MILLPOND RD
Second Line	:
City	:	MARION
State	:	SC
Zip	:	29571-7899
Country	:	US
Telephone Number	:	843-992-4238
Fax Number	:

Provider Business Practice Location Address
First Line	:	4563 SOUTH HWY. 41
Second Line	:
City	:	MULLINS
State	:	SC
Zip	:	29574
Country	:	US
Telephone Number	:	843-992-4238
Fax Number	:

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

Provider Enumeration Date	:	03/04/2025
Last Update Date	:	05/15/2025

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