Individual
DOLI ELIZABETH BIONDILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3617 CASEY ST, SUITE C, LORIS, SC 29569-2981
(843) 716-7911
(843) 716-7918
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7042
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
36148
SC
207RP1001X
Pulmonary Disease Physician
Primary
36148
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2050741
CIGNA
SC
01
—
267902
MEDCOST
SC
01
—
30155455
SELECT HEALTH
SC
05
—
361487
—
SC
01
—
5751014
AETNA
SC
01
—
P01218899
RAILROAD MEDICARE
SC
01
—
SC14298552
MEDICARE PTAN
SC
Enumeration date
08/10/2005
Last updated
02/01/2021
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