Individual
DANA MARIE LILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
501 CARNES CROSSING BLVD STE B, SUMMERVILLE, SC 29486-0407
(843) 212-8080
(843) 203-2299
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
75048
SC
363LF0000X
Family Nurse Practitioner
Primary
23265
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6358
—
SC
Enumeration date
09/11/2019
Last updated
02/11/2026
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