SALLY BETHEA WIEDEMANN (NPI# 1235573551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235573551 |
| Entity Type | Individual |
| Full Name | SALLY BETHEA WIEDEMANN |
| Credential | RN |
| Practice Address |
660 Center St Greenwood SC 29649-1126 |
| Practice Telephone | 8649413447 |
| Mailing Telephone | 8649413447 |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
25939 | SC | Nursing Service Providers |
| Street Address |
660 CENTER ST |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29649-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346895455 | Prathamkumar Rakeshkumar Patel | Pharmacist | 508 By-pass 72 Northwest, Greenwood, SC 29649 | 2019-08-06 |
| 1821650284 | Lindsay Kay Fuqua | Dentist | 1302 Sc-72 Business, Greenwood, SC 29649 | 2019-07-05 |
| 1457830291 | Stephanie Dixon | Speech-Language Pathologist | 1075 Bypass 25 Ne, Greenwood, SC 29649 | 2018-08-13 |
| 1891286613 | Tylan Creek Family Dentistry Greenwood | Clinic/Center | 3710 Highway 221- 72e, Greenwood, SC 29649 | 2018-05-29 |
| 1225549090 | Tekola Moore | Registered Nurse | 150 By-pass 225, Greenwood, SC 29649 | 2017-10-19 |
| 1629588520 | Adrienne Jackson | Prosthetist | 2005 Old Laurens Rd, Greenwood, SC 29649 | 2017-10-05 |
| 1982141115 | Debras Hair Studio LLC | Prosthetic/Orthotic Supplier | 1516 Bypass 72 Ne Ste D, Greenwood, SC 29649 | 2017-01-25 |
| 1225406960 | Jim Nasim | Dentist | 101 West Durst Avenue, Greenwood, SC 29649 | 2015-09-11 |
| 1174905806 | Social Change Initiative | Case Management | 1402 C Hwy 72 West, Greenwood, SC 29649 | 2015-06-18 |
| 1346661683 | Cambridge Dental of Greenwood, LLC | Clinic/Center | 1302 Sc Hwy 72 W Business, Greenwood, SC 29649 | 2014-01-03 |
| Find all providers in zip 29649 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225549090 | Tekola Moore | Registered Nurse | 150 By-pass 225, Greenwood, SC 29649 | 2017-10-19 |
| 1114329653 | Lauren Adams | Registered Nurse | 1855 Calhoun Rd, Greenwood, SC 29649-9102 | 2014-09-16 |
| 1982048377 | Tonya Counts Hodges | Registered Nurse | 329 Deadfall Rd W, Greenwood, SC 29649-9545 | 2013-04-29 |
| 1205270451 | Patricia Lida Pena | Registered Nurse | 1032 Emerald Rd, Greenwood, SC 29646-8833 | 2013-04-18 |
| 1679917983 | Denise W. Brown | Registered Nurse | 725 Marshall Rd, Greenwood, SC 29646-3606 | 2013-04-18 |
| 1184068306 | Laura L Garrett | Registered Nurse | 1816 Cokesbury Rd, Greenwood, SC 29649-8966 | 2013-04-18 |
| 1114361417 | Renee Howard Shiflet | Registered Nurse | 220 Northside Dr E, Greenwood, SC 29649-9343 | 2013-04-18 |
| 1043552417 | Judith Ann Link | Registered Nurse | 150 Bypass 225, Greenwood, SC 29646-1154 | 2013-03-22 |
| 1548502552 | Pamela Kaye Thompson | Registered Nurse | 1608 Florida Ave, Greenwood, SC 29646-8006 | 2013-03-18 |
| 1194066225 | Nancy T Moore | Registered Nurse | 400 Glenwood St, Greenwood, SC 29649-1523 | 2013-03-14 |
| Find all providers in GREENWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.