Ann Marie Dietrich
MD | Pediatric Emergency Medicine | Female
Ann Marie Dietrich, MD is a Greenville, South Carolina based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Ann Marie Dietrich is
701 Grove Rd Fl 1, Greenville, South Carolina - 29605-4210. She can be contacted on phone at
864-455-7899 and fax number 864-455-5474.
Ann Marie Dietrich is a sole proprietor of her business.
NPI number (Unique professional ID) for Ann Marie Dietrich is
1972505915 which was assigned by NPPES on 10 Aug, 2005 and it was last updated on 02 May, 2022.
Ann Marie Dietrich license number is
86478 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in South Carolina.
Ann Marie Dietrich has special qualifications to manage emergencies in infants and children.
Complete Profile:
Ann Marie Dietrich basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Ann Marie Dietrich |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Ann Marie Dietrich address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 701 Grove Rd Fl 1
Greenville, SC, 29605-4210
United States |
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| Phone Number : | 864-455-7899 |
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| Fax Number : | 864-455-5474 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1972505915 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Aug, 2005 |
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| Last Updated On : | 02 May, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ann Marie Dietrich are as mentioned. Primary taxonomy code for Ann Marie Dietrich, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207PP0204X | Emergency Medicine Pediatric Emergency Medicine | No | 86478 | SC |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | No | 35055079 | OH |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 86478 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Ann Marie Dietrich such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 6486614800 | MEDICAID | KY | |
| 2028273 | MEDICAID | OH | |
| 0105570000 | MEDICAID | WV | |
| PENDING | MEDICAID | SC | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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555 S 18TH ST,
COLUMBUS, OH, 43205-2654
United States | COLUMBUS, OH | 614-722-4867 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 300 E Mcbee Ave Fl 4
Greenville, SC, 29601-2842
United States |
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| Phone Number : | 864-522-8603 |
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Business Location:
Patients can refer following map for directions to
Ann Marie Dietrich practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.