Individual
DR. MICHAEL DENNIS DALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9 RICHLAND MEDICAL PARK DR STE 530, COLUMBIA, SC 29203-6870
(803) 434-4603
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
22050
MS
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
29039
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06407309
—
MS
05
—
146735
—
AL
05
—
2357395
—
LA
05
—
290394
—
SC
01
—
SCB2925742
MEDICARE
SC
01
—
SCB292F935
MEDICARE
SC
Enumeration date
10/17/2006
Last updated
03/16/2018
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