Pee Dee Diabetic Consultants,LLC

Primary specialty

PharmacistTaxonomy code 183500000X

License

5201 Issued in SC

Legal business name

PEE DEE DIABETIC CONSULTANTS,LLC

Practice address

269 N Ron McNair Blvd
Lake City, SC 29560-2437

Phone

(843) 394-3121

Fax

(843) 394-2551

NPI assigned

Sep 11, 2008

Last updated

Aug 21, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jane Dixon Player, RPH/CDE

Title

Owner

Phone

(843) 394-3121

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1912156167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 ACADEMY ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602102",
            "telephone_number": "843-394-3121",
            "fax_number": "843-394-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 N RON MCNAIR BLVD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602437",
            "telephone_number": "843-394-3121",
            "fax_number": "843-394-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEE DEE DIABETIC CONSULTANTS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "PLAYER",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "DIXON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-394-3121",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH/CDE"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "5201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pee Deediabetic Consultants
• Alice Washington Peterson, LMT

• Pharmacist in Lake City, SC
• Providers in Lake City, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.