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Carly Lane Dixon
Family Nurse Practitioner in Anderson, South Carolina
NPI 1831706589

Carly Lane Dixon is a Family Nurse Practitioner based in Columbia, SC and is specialized in Family. Carly Lane Dixon practices in Anderson, SC. The NPI Number for Carly Lane Dixon is 1831706589 and holds a License No. (South Carolina).

The current practice location address for Carly Lane Dixon is 2000 E Greenville St Ste 2900, Anderson, SC and can be reached out via phone at 864-512-5849 and via fax at 864-512-7575.

Location: 2000 E Greenville St Ste 2900, Anderson, SC, 29202-3174
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831706589
Provider Name
Carly Lane Dixon
Credential
Provider Entity Type
Individual
Gender
Female
Address
2000 E Greenville St Ste 2900, Anderson, SC, 29202-3174
Phone Number
864-512-5849
Fax Number
864-512-7575
Provider Enumeration Date
09/28/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP7494 05 SC
institution
Provider Business Practice Location Address Details
Address
2000 E Greenville St Ste 2900
City
Anderson
State
South Carolina
Zip
29621-1722
Phone Number
864-512-5849
Fax Number
864-512-7575
person
Provider Business Mailing Address Details
Address
2000 E Greenville St Ste 2900
City
Anderson
State
South Carolina
Zip
29621-1722
Phone Number
864-512-5849
Fax Number
864-512-7575
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
24793 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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