Individual
SILVESTRO J LIJOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1114 N MAIN ST, SUMMERVILLE, SC 29483-7326
(843) 212-8070
(843) 212-8071
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2007-00071
NC
207Q00000X
Family Medicine Physician
0102201388
VA
207Q00000X
Family Medicine Physician
Primary
1545
SC
207Q00000X
Family Medicine Physician
2007-00071
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010069777
—
VA
05
—
015450
—
SC
01
—
1545
SC MEDICAL LICENSE
SC
05
—
5905797
—
NC
Enumeration date
09/12/2005
Last updated
03/01/2021
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