NPI 1497178180

Kaitlin Dickson, COTAL

Practitioner Contractor Greenville, SC

Practice location

Address: 10 Fountainview Ter, Greenville, SC 29607-4060
Phone: (864) 528-5507

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 3279 (SC)

Other Contractor providers in South Carolina →

Registry record

NPI: 1497178180
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jan 2014
Record last updated: 30 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.