Individual
DR. DONALD J. DIPETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 SUNSET DR, COLUMBIA, SC 29203-6803
(803) 434-4100
(803) 434-4155
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 293-7320
(803) 293-7330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30302
SC
207R00000X
Internal Medicine Physician
G9732
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110234826
RR/MEDICARE
TX
05
—
1298481-06
—
TX
01
—
1298481-08
CSHCN
TX
05
—
303022
—
SC
01
—
8F5572
BLUE SHIELD
TX
Enumeration date
03/22/2006
Last updated
07/02/2021
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