Individual
ASHLEY MARIE DICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
140 ALLEN COURT, NORTH AUGUSTA, SC 29860
(803) 510-0007
Mailing address
140 ALLEN COURT, NORTH AUGUSTA, SC 29860
(803) 510-0007
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4014
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3007
—
SC
Enumeration date
10/26/2009
Last updated
05/29/2018
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