Womack, Alicia Dawn
Womack, Alicia Dawn is an individual health care provider with primary practice located at 139 Medical Center Dr , Gaffney SC 29340-4823. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Womack, Alicia Dawn can be contacted via phone (864) 487-7186.Contact Information
Primary practice address
139 Medical Center Dr
Gaffney SC 29340-4823
Phone: (864) 487-7186
Fax: (864) 487-7246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 19572 | South Carolina |
Profile Details
| NPI number | 1538541792 |
|---|---|
| LBN Legal business name | Womack, Alicia Dawn |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2015 |
| Last updated | Jan 9th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538541792 | NPPES |
| South Carolina | Other | SC62595096 | MEDICARE PIN |
| South Carolina | Other | SC62596121 | MEDICARE PIN |
| South Carolina | Other | SC6259J577 | MEDICARE PIN |
| South Carolina | Other | SC62596067 | MEDICARE PIN |
| South Carolina | MEDICAID | NP3288 | MEDICARE PIN |
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