Individual
DYLAN CLAY SOLISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
890 W FARIS RD, SUITE 470, GREENVILLE, SC 29605-4253
(864) 455-7887
(864) 455-6875
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-9278
(601) 984-6773
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
LL39893
SC
Other
Enumeration date
06/22/2016
Last updated
10/22/2020
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