Individual
LEWIS GARRETT DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 S HERLONG AVE STE G, ROCK HILL, SC 29732-1182
(803) 909-6300
(803) 909-6310
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 366-3729
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
22540
SC
208600000X
Surgery Physician
M-17842
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T67022
—
SC
Enumeration date
12/05/2005
Last updated
06/28/2024
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