Organization
DILLON INTERNAL MEDICINE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES P WALLACE MD (PRESIDENT)
(843) 774-2478
Entity
Organization
Contact information
Practice address
705 N 8TH AVE, SUITE 1A, DILLON, SC 29536-2549
(843) 774-2478
(843) 774-0293
Mailing address
705 N 8TH AVE STE 1A, DILLON, SC 29536-2549
(843) 774-2478
(843) 774-0293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7901443
—
NC
05
—
PA8526
—
SC
Enumeration date
10/06/2006
Last updated
09/25/2024
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