Individual
MITCHELL FOY DILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
11082 N RADIO STATION RD, SENECA, SC 29678-1142
(864) 882-2314
(864) 882-3677
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-2286
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14485
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080028018
RAILROAD MEDICARE
SC
05
—
GP4697
—
SC
05
—
TL5943
—
SC
Enumeration date
07/13/2005
Last updated
05/19/2021
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