Individual
DIMITRIOS VIRVILIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 RICHLAND MEDICAL PARK DR STE 330, COLUMBIA, SC 29203-6862
(803) 434-6889
Mailing address
139 BAYERL DR, COLUMBIA, SC 29206-3167
(631) 805-9542
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
24090
MS
Other
Enumeration date
07/01/2008
Last updated
08/03/2021
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