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NPI Code Detail

MEDICARE: PATRICIA A DILLOW WHNP

MEDICARE: PATRICIA A DILLOW WHNP
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
1363L00000XNurse Practitioner2437SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1576007863029OTHERSCBCBS OF SC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982641122
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA A DILLOW WHNP
Provider Business Mailing Address
First Line : 7 INDEPENDENCE PT
Second Line : SUITE 140
City : GREENVILLE
State : SC
Zip : 29615-4566
Country : US
Telephone Number : 864-797-6044
Fax Number :
Provider Business Practice Location Address
First Line : 1120 GROVE RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-4656
Country : US
Telephone Number : 864-455-6444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 02/01/2008

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