DANA L ADDISON

PROVIDENCE GROUP PRACTICES II LLC

Dr DANA L ADDISON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2016.

Contact

PROVIDENCE GROUP PRACTICES II LLC

1330 HAILE ST
CAMDEN
SC
290203002

Tel: 8034326771

DANA L ADDISON Information

Npi 1861940231
Pac Id 4587943568
Professional Enrollment Id I20161115001163
Last Name ADDISON
First Name DANA
Middle Name L
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE GROUP PRACTICES II LLC
Group Practice Pac Id 2668768276
Number Of Group Practice Members 29
Line 1 Street Address 1330 HAILE ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CAMDEN
State SC
Zip Code 290203002
Phone Number 8034326771
Hospital Affiliation Ccn 1 420048
Hospital Affiliation Lbn 1 KERSHAWHEALTH
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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