Individual
KERI MARLENE DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
103 WHITETAIL DR, WALHALLA, SC 29691-5837
(864) 638-3444
(864) 638-3445
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 638-3444
(864) 638-3445
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20361
SC
Other
Enumeration date
08/17/2016
Last updated
11/06/2017
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