MEDICARE: DENEKA MERRIMAN

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	163W00000X	Registered Nurse	226383	SC

General Provider Information

NPI Number	:	1851764716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENEKA MERRIMAN

Provider Business Mailing Address
First Line	:	201 W HAMPTON ST
Second Line	:
City	:	DILLON
State	:	SC
Zip	:	29536-3333
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 W HAMPTON ST
Second Line	:
City	:	DILLON
State	:	SC
Zip	:	29536-3333
Country	:	US
Telephone Number	:	843-774-5611
Fax Number	:

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

Provider Enumeration Date	:	11/01/2015
Last Update Date	:	01/15/2016

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Directions to “ DENEKA MERRIMAN ” Practice Location

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