| Keri Marlene Dickson, FNP | |
|
103 Whitetail Dr, Walhalla, SC 29691-5837 | |
| (864) 638-3444 | |
| (864) 638-3445 |
| Full Name | Keri Marlene Dickson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 103 Whitetail Dr, Walhalla, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902351190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 20361 (South Carolina) | Primary |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Entity Name | Woodruff Road Urgent Care Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598073496 PECOS PAC ID: 7911182084 Enrollment ID: O20110505000224 |
| Mailing Address | Practice Location Address |
|---|---|
| Keri Marlene Dickson, FNP 1 Independence Pt Ste 212, Greenville, SC 29615-4536 Ph: (864) 638-3444 | Keri Marlene Dickson, FNP 103 Whitetail Dr, Walhalla, SC 29691-5837 Ph: (864) 638-3444 |
Ms. Christina Diane Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Booker Dr, Walhalla, SC 29691 Phone: 864-656-3076 | |
Jacqueline Gabrielle Wiles, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Booker Dr, Walhalla, SC 29691 Phone: 864-656-3076 Fax: 843-985-9562 | |
Michelle Marie Deem, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Booker Dr, Walhalla, SC 29691 Phone: 864-656-3076 Fax: 843-985-9562 | |
Margot Veronique Rabren, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Whitetail Dr, Walhalla, SC 29691 Phone: 864-638-3444 Fax: 864-638-3445 |