Individual
ADAM DIMITRI GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
124 SUNSET CT, WEST COLUMBIA, SC 29169-2429
(803) 931-0077
Mailing address
124 SUNSET CT, WEST COLUMBIA, SC 29169-2429
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5151015610
MI
207W00000X
Ophthalmology Physician
Primary
MDO.95584
SC
Other
Enumeration date
05/31/2022
Last updated
06/19/2026
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