Individual
SUZETTE DENNIS DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
126 N PEARL ST, PAGELAND, SC 29728-1925
(438) 675-5004
Mailing address
126 N PEARL ST, PAGELAND, SC 29728-1925
(704) 289-9605
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN28139RX
NC
363LA2100X
Acute Care Nurse Practitioner
5014207
NC
363LA2100X
Acute Care Nurse Practitioner
APN28138RX
SC
363LA2200X
Adult Health Nurse Practitioner
5014207
NC
363LG0600X
Gerontology Nurse Practitioner
5014207
NC
363LP2300X
Primary Care Nurse Practitioner
5014207
NC
363LP2300X
Primary Care Nurse Practitioner
APN28139RX
SC
Other
Enumeration date
07/20/2021
Last updated
01/17/2025
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