Individual
DR. ELIZABETH ANDERSON DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
964 LOCHEND DR, DARLINGTON, SC 29532-5698
(843) 777-6890
(843) 777-6891
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-6870
(843) 777-6871
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12821
SC
207QA0505X
Adult Medicine Physician
12821
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000240272
UNISON
SC
01
—
034
TRICARE
SC
01
—
0422230
CIGNA
SC
01
—
062
BCBS
SC
01
—
063
BCBS
SC
05
—
128212
—
SC
01
—
18500
EVOLUTIONS
SC
01
—
207167
MEDCOST
SC
01
—
5909339
NC MEDICAID
NC
Enumeration date
02/20/2007
Last updated
02/01/2021
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