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DILLON FAMILY MEDICINE PA NPI 1518143320


NPI Information

NPI: 1518143320
Provider Name: DILLON FAMILY MEDICINE, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
603 N 6TH AVE
DILLON, SC
ZIP 29536
Phone: (843) 774-7336
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DILLON FAMILY MEDICINE, PA is a family medicine in Dillon, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DILLON FAMILY MEDICINE, PA NPI is 1518143320. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

603 N 6TH AVE
DILLON, SC
ZIP 29536-503
Phone: (843) 774-7336
Fax: (843) 774-3745

The provider's authorized official is Dennis M Jensen .
The authorized official title is Partner and has the following contact phone number (843) 774-7336.

The enumeration date for this NPI number is 1/11/2008 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine24070SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H95571MEDICARE UPINSC
2240705MEDICAIDSOUTH CAROLINA
3=========OTHERSOUTH CAROLINATAX ID
4AA01151449MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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