Individual
ANTHONY PAUL DINICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
206 ELSTAR LOOP RD, SIMPSONVILLE, SC 29681-6503
(304) 261-9646
Mailing address
206 ELSTAR LOOP RD, SIMPSONVILLE, SC 29681-6503
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PENDING
SC
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PENDING
SC
390200000X
Student in an Organized Health Care Education/Training Program
0116018195
VA
Other
Enumeration date
06/29/2007
Last updated
07/05/2011
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