Organization
DILLON FAMILY MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS M JENSEN MD (PARTNER)
(843) 774-7336
Entity
Organization
Contact information
Practice address
603 N 6TH AVE, DILLON, SC 29536-2503
(843) 774-7336
(843) 774-3745
Mailing address
PO BOX 1069, DILLON, SC 29536-1069
(843) 774-7336
(843) 774-3745
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24070
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240705
—
SC
Enumeration date
01/11/2008
Last updated
04/20/2008
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