Greene, Australia Van Dyke

Greene, Australia Van Dyke is an individual health care provider with primary practice located at 10 E Hospital St , Manning SC 29102-3153. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Greene, Australia Van Dyke can be contacted via phone (803) 435-8463.

Contact Information

Primary practice address
10 E Hospital St Manning SC 29102-3153
Fax: (803) 435-5288
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20008 South Carolina

Profile Details

NPI number 1346600780
LBN Legal business name Greene, Australia Van Dyke
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2016
Last updated Jan 20th, 2017 - about 9 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.

Request for update

Popular Providers