Individual
GUILLAUME DAVID DUMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
146 E HOSPITAL DR STE 140&350, WEST COLUMBIA, SC 29169-4800
(803) 314-9640
(803) 314-9641
Mailing address
PO BOX 22265, BELFAST, ME 04915-4473
(803) 296-7846
(803) 296-9699
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
254005
MA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
36781
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367819
—
SC
Enumeration date
06/11/2008
Last updated
04/17/2023
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