Dickinson, Corey Mitchell

Dickinson, Corey Mitchell is an individual health care provider with primary practice located at 5900 Garners Ferry Rd , Columbia SC 29209-1301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dickinson, Corey Mitchell can be contacted via phone (803) 695-5450.

Contact Information

Primary practice address
5900 Garners Ferry Rd Columbia SC 29209-1301
Phone: (803) 695-5450
Fax: (803) 695-5469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 23062 South Carolina

Profile Details

NPI number 1245892595
LBN Legal business name Dickinson, Corey Mitchell
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2019
Last updated Oct 1st, 2019 - about 7 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 1245892595 NPPES
South Carolina MEDICAID NP6147

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