# DILLON INTERNAL MEDICINE ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124115886
- **Authorized official:** JAMES P WALLACE MD (PRESIDENT)
- **Authorized official phone:** (843) 774-2478

## Contact information

- **Practice address:** 705 N 8TH AVE, SUITE 1A, DILLON, SC 29536-2549
- **Practice address phone:** (843) 774-2478
- **Practice address fax:** (843) 774-0293
- **Mailing address:** 705 N 8TH AVE STE 1A, DILLON, SC 29536-2549
- **Mailing address phone:** (843) 774-2478
- **Mailing address fax:** (843) 774-0293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | SC | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 09/25/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7901443 | — | NC |
| 05 | — | PA8526 | — | SC |