Mrs Sally B Dominick, RN is a
Registered Nurse - School based in Little Mountain, South Carolina. Mrs Sally B Dominick is licensed to practice in South Carolina (license number 34091) and her current practice location is
692 Mill St, Little Mountain, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(803) 945-7721.
NPI number for Mrs Sally B Dominick is 1720425069 and her current mailing address is Po Box 718, Newberry, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720425069.
Provider's Profile
Full Name | Mrs Sally B Dominick |
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Gender | Female |
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Speciality | Registered Nurse - School |
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Location | 692 Mill St, Little Mountain, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720425069
- Provider Enumeration Date: 05/28/2013
- Last Update Date: 05/28/2013
Medical Identifiers
Medical identifiers for Mrs Sally B Dominick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720425069 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WS0200X | Registered Nurse - School | 34091 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Sally B Dominick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Sally B Dominick, RN Po Box 718, Newberry, SC 29108-0718 Ph: (803) 321-2620 | Mrs Sally B Dominick, RN 692 Mill St, Little Mountain, SC 29075-8716 Ph: (803) 945-7721 |
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