Individual
JAMES LOUIS DEDONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2835 E HIGHWAY 76 STE 5, MULLINS, SC 29574-6038
(843) 431-2171
(843) 431-2999
Mailing address
2835 E HIGHWAY 76 STE 5, MULLINS, SC 29574-6038
(843) 431-2171
(843) 431-2999
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20887
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0965
—
SC
Enumeration date
07/25/2006
Last updated
09/30/2014
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