Dillon Family Medicine, Pa

LBN: Dillon Family Medicine, Pa
Dillon Family Medicine, Pa is an health care organization with primary practice located at 603 N 6Th Ave , Dillon SC 29536-2503. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Dillon Family Medicine, Pa can be contacted via phone (843) 774-7336, or through Jensen, Dennis M via phone (843) 774-7336.

Contact Information

Primary practice address
603 N 6Th Ave Dillon SC 29536-2503
Phone: (843) 774-7336
Fax: (843) 774-3745
Website:
Map and Directions
Authorized official contact:
Name: Jensen, Dennis M Doctor of Medicine (MD)
Phone: (843) 774-7336

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24070 South Carolina

Profile Details

NPI number 1518143320
LBN Legal business name Dillon Family Medicine, Pa
DBA Doing business as
Authorized official Jensen, Dennis M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2008
Last updated Apr 20th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518143320 NPPES
South Carolina MEDICAID 240705

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