Dixon, Carly Lane

Dixon, Carly Lane is an individual health care provider with primary practice located at 2000 E Greenville St Ste 2900 , Anderson SC 29621-1722. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dixon, Carly Lane can be contacted via phone (864) 512-5849.

Contact Information

Primary practice address
2000 E Greenville St Ste 2900 Anderson SC 29621-1722
Phone: (864) 512-5849
Fax: (864) 512-7575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 24793 South Carolina

Profile Details

NPI number 1831706589
LBN Legal business name Dixon, Carly Lane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2020
Last updated Dec 1st, 2022 - about 4 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 1831706589 NPPES
South Carolina MEDICAID NP7494

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