Individual
DR. BRICE B. DILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 BOILING SPRINGS RD, BOILING SPRINGS, SC 29316-5121
(864) 583-6381
(864) 583-6390
Mailing address
479 HEYWOOD AVENUE, SPARTANBURG, SC 29307-1726
(864) 583-6381
(864) 583-6390
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
27661
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22N33N45
SC CONT. DRUG
SC
01
—
27661
SC MEDICAL LICENSE
SC
05
—
276613
—
SC
01
—
CJ6730
RAILROAD MEDICARE GROUP
SC
01
—
P00386245
RAILROAD MEDICARE INDIVID
SC
Enumeration date
08/15/2005
Last updated
03/07/2023
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