Individual
MR. CLARENCE JOSEPH DOLLISON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2712 MIDDLEBURG DR, SUITE 101, COLUMBIA, SC 29204-2415
(803) 254-4257
(803) 252-7334
Mailing address
2712 MIDDLEBURG DR, SUITE 101, COLUMBIA, SC 29204-2415
(803) 254-4257
(803) 252-7334
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
08009
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080094
—
SC
Enumeration date
07/04/2006
Last updated
07/16/2014
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