Individual
MR. JAMES DANIEL DILLON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 UNIVERSITY PKWY STE 1520, AIKEN, SC 29801-6840
(803) 502-8400
(803) 641-7015
Mailing address
367 S GULPH RD, ATTN IPM CREDENTIALING, KING OF PRUSSIA, PA 19406-3121
(803) 502-9400
(803) 641-7015
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
632617
SC
207T00000X
Neurological Surgery Physician
Primary
32617
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10372771
—
VA
05
—
326178
—
SC
Enumeration date
09/04/2006
Last updated
01/27/2020
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