Individual
DR. DOMINIC A OFFIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
606 BLACK RIVER RD, GEORGETOWN, SC 29440-3304
(843) 527-7000
(843) 520-8403
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01058488A
IN
207R00000X
Internal Medicine Physician
234371
NY
207R00000X
Internal Medicine Physician
Primary
M0845
TX
208M00000X
Hospitalist Physician
234371
NY
Other
Enumeration date
12/07/2005
Last updated
03/31/2025
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