Dyer, Judy Marie

Dyer, Judy Marie is an sole proprietor health care provider with primary practice located at 391 Serpentine Dr Ste 400 , Spartanburg SC 29303-3081. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Dyer, Judy Marie can be contacted via phone (864) 560-7517.

Contact Information

Primary practice address
391 Serpentine Dr Ste 400 Spartanburg SC 29303-3081
Phone: (864) 560-7517
Fax: (864) 560-7520
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 28543 South Carolina

Profile Details

NPI number 1932615655
LBN Legal business name Dyer, Judy Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2017
Last updated Apr 29th, 2024 - about 2 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 1932615655 NPPES
South Carolina Other SCT0517652 MEDICARE PIN
South Carolina MEDICAID 301100 MEDICARE PIN

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