Individual
ANDREA DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
117 POPLAR PL, AIKEN, SC 29803-7404
(803) 508-5127
Mailing address
50 S B B KING BLVD # 100, MEMPHIS, TN 38103-2626
(901) 436-1381
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
215763
SC
363L00000X
Nurse Practitioner
Primary
26157
SC
Other
Enumeration date
05/13/2022
Last updated
07/05/2022
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